"You'll need to settle your affairs": How the subject of death is approached by oncologists and advanced cancer patients in follow-up consultations.
Objectives: This qualitative study aimed to investigate communication about death in consultations with patients undergoing chemotherapy with no curative intent. Specifically, we examined (i) how the topic of death was approached, who raised it, in what way, and which responses were elicited, (ii) h...
| Publicado en: | Palliative & Supportive Care Vol. 22; no. 4; pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Cambridge University Press
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180860502&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180860502 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14789515 22S5 jtl: Palliative & Supportive Care issn: 14789515 maglogo: N pubinfo: dt: Aug2024 vid: 22 iid: 4 pid: 15979 pub: Cambridge University Press artinfo: ui: 180860502 180860502 NLM36354030 10.1017/S147895152200147X NLM36354030 180860502 ppf: 1 ppct: 9 formats: tig: atl: "You'll need to settle your affairs": How the subject of death is approached by oncologists and advanced cancer patients in follow-up consultations. aug: au: Salvadé, Hélène Stiefel, Friedrich Bourquin, Céline affil: Psychiatric Liaison Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland sug: ab: Objectives: This qualitative study aimed to investigate communication about death in consultations with patients undergoing chemotherapy with no curative intent. Specifically, we examined (i) how the topic of death was approached, who raised it, in what way, and which responses were elicited, (ii) how the topic unfolded during consultations, and (iii) whether interaction patterns or distinguishing ways of communicating can be identified.Methods: The data consisted of 134 audio-recorded follow-up consultations. A framework of sensitizing concepts was developed, and interaction patterns were looked for when death was discussed.Results: The subject of death and dying was most often initiated by patients, and they raised it in various ways. In most consultations, direct talk about death was initiated only once. We identified 4 interaction patterns. The most frequent consists of indirect references to death by patients, followed by a direct mention of the death of a loved one, and a statement of the oncologists aiming to skip the subject.Significance Of Results: Patients and oncologists have multiple ways of raising, pursuing, addressing and evacuating the subject of death. Being attentive and recognizing these ways and associated interaction patterns can help oncologists to think and elaborate on this topic and to facilitate discussions. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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