Document Detail

Dancing around death: hospitalist-patient communication about serious illness.
MedLine Citation:
PMID:  23034778     Owner:  NLM     Status:  MEDLINE    
Hospital physicians care for most seriously ill patients in the United States. We employed dimensional analysis to describe communication about death and dying in audio-recorded admission encounters between seriously ill patients and hospitalists. Acknowledging or not acknowledging the possibility of dying emerged as a key process. Acknowledgment was rare, and depended on synergistic communication behaviors between patient and physician. Facilitators included patients cuing for information and disclosing emotional distress, and physicians exploring the patient's understanding of his or her illness and emotional distress. When hospitalists focused on acute issues, stated that they were awaiting test results, and deferred to other physicians, discussion moved away from acknowledgment. Meaningful discussion of end-of-life issues, including goals and values, fears about death and dying, prognosis, and options for palliative care followed open acknowledgment. This acknowledgment process can serve as a guide for providers to sensitively and honestly discuss essential end-of-life issues.
Wendy G Anderson; Susan Kools; Audrey Lyndon
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-10-03
Journal Detail:
Title:  Qualitative health research     Volume:  23     ISSN:  1049-7323     ISO Abbreviation:  Qual Health Res     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-11-20     Completed Date:  2013-11-26     Revised Date:  2014-01-10    
Medline Journal Info:
Nlm Unique ID:  9202144     Medline TA:  Qual Health Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3-13     Citation Subset:  T    
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MeSH Terms
Academic Medical Centers
Hospitalists / standards*
Middle Aged
Palliative Care / psychology*,  standards
Patient Admission
Physician's Practice Patterns
Physician-Patient Relations*
Qualitative Research
Tape Recording
Terminally Ill / psychology*
Truth Disclosure*
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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