Health Affairs has published a
moving essay and podcast on the power of effective communication in the
doctor-patient relationship. . .
'I Don't
Want Jenny To Think I'm Abandoning Her': Views On Overtreatment
Diane E.
Meier
The article, published in the
current issue of Health Affairs, the leading
journal of health policy thought and research,centers on an experience with a
cancer patient whose oncologist was struggling to give up on experimental
treatment. The problem, as Dr. Meier came to realize through palliative care
consultations with her patient, as well as discussions with the patient's
oncologist, was not that the oncologist lacked compassion but instead lacked
the proper training to discuss the realities of the illness with the patient.
"To change behavior, we
must change the education and training of young physicians and the
professional and clinical culture in which they practice." says Dr.
Meier in her essay.
Click here to read the full story.
Listen to the podcast by clicking here.
Health Affairs has been publishing an
exciting blog series bringing pressing palliative care issues to light. The
series features adapted essays from the forthcoming book, Meeting the Needs of Older Adults with Serious
Illness: Challenges and Opportunities in the Age of Health Care Reform,
edited by Dr. Meier and Dr. Amy Kelley.
Visit Palliative in Practice's Health Affairs Blog Series page to read more.
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Discussion: Sometime ago a New England newspaper, the Worcester Telegram & Gazette, carried a story entitled "Various Pathways Lead to a Good Death." in which a retired former chief of surgery, Dr. H. Brownell, spoke of his concern that too many patients die what he called ‘a bad death.’ In the article Brownell spoke about seeing patients, including his own, die in an intensive care unit with tubes poked into their chests, their bellies and just about every orifice of their bodies. He further commented about patients resuscitated with so much fluid that their faces were unrecognizable, arms black and blue from needles and blood sticks, in severe pain and unable to communicate—and with very little hope of survival. "No one," he commented, "should have to die like this." Janet L. Abrahm, M.D., F.A.C.P., at the University of Pennsylvania School of Medicine, Philadelphia, encourages physicians to broaden their concept of care for patients who are terminal...
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