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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THE CHAPLAINS' NOTES IN PATIENT CHARTS -- BY RAYMOND J. LAWRENCE A very useful study was reported in the journal Palliative and Supportive Care in May, 2016, entitled "Documenting presence: A descriptive study of chaplain notes in the intensive care unit." The research was completed in September, 2015. The authors of the report were Brittany M. Lee, B.S.; Farr A. Curlin, M.D.; and Philip J. Choi, M.D. The setting of the research was Duke University Hospital, Division of Pulmonary and Critical Care Medicine, in Durham, North Carolina. The study was done with input from the Director of Pastoral Services, Jim Rawlings. The researchers proposed that the recent emphasis on evidence-based practice may be leading chaplains to the use of a reduced, mechanical language insufficient for illuminating patients' individual stories. Whatever the cause may be, it is clear that the chaplains in this study are at sea on the matter of what should be appropriately...
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