communicating prognosis of patients with advanced

Submit Demands Online

2020/8/7Metastatic colorectal cancer has a relatively favorable prognosis with up to 10–20% of patients living beyond five years 28 30 It is possible that these statistics could have buoyed patients' hopes in terms of their own LE and made them less realistic Patients' perceptions of prognosis influence their treatment preferences in advanced cancer [8 32] Studies have shown that patients with optimistic perceptions of prognosis are more likely to prefer resuscitation [ 15 ] favor life-extending therapy [ 32 ] and enter phase I clinical trials [ 25 ]

Clinical practice guidelines for communicating prognosis

Mark T Clayer Clinical practice guidelines for communicating prognosis and end‐of‐life issues with adults in the advanced stages of a life‐limiting illness and their caregivers Medical Journal of Australia 10 5694/j 1326-5377 2007 tb01374 x 187 8 (478-478)

Michelle M Milic Kathleen Puntillo Kathleen Turner Denah Joseph Natalie Peters Rio Ryan Cathy Schuster Holly Winfree Jenica Cimino Wendy G Anderson Communicating with Patients' Families and Physicians About Prognosis and Goals of Care

2016/9/21Cancer patients in developed countries increasingly express a preference for more detailed information and involvement in decisions about their care 1 Documentation of high levels of psychological morbidity in cancer patients has also highlighted the importance of doctor communication when delivering bad news discussing prognosis and negotiating treatment decisions 2

2020/8/7Metastatic colorectal cancer has a relatively favorable prognosis with up to 10–20% of patients living beyond five years 28 30 It is possible that these statistics could have buoyed patients' hopes in terms of their own LE and made them less realistic

What do patients in the advanced stages of Heart Failure want? Patients living with advanced HF have described their preference to have discussions about the possible illness trajectory and their prognosis when they are cognitively intact yet these discussions are often deferred until patients

Communicating with Patients with Advanced Heart

What do patients in the advanced stages of Heart Failure want? Patients living with advanced HF have described their preference to have discussions about the possible illness trajectory and their prognosis when they are cognitively intact yet these discussions are often deferred until patients

2019 49 Communicating with patients with advanced and metastatic cancer People with incurable cancer need doctors who offer them hope but also give them a clear idea of what is realistically possible Doctors can find it hard to be both empathic and honest

A diagnosis of advanced cancer is devastating to patients and their families The cancer care team has typically been ineffective in communicating honestly but sensitively on issues of concern including treatment options prognosis and factors that affect quality-of-life

Gordon EJ Daugherty CK 'Hitting you over the head': oncologists' disclosure of prognosis to advanced cancer patients Bioethics 2003 17: 142-168 28 Norton SA Talerico KA Facilitating end-of-life decision-making: strategies for communicating andJ Gerontol

2016/9/21Cancer patients in developed countries increasingly express a preference for more detailed information and involvement in decisions about their care 1 Documentation of high levels of psychological morbidity in cancer patients has also highlighted the importance of doctor communication when delivering bad news discussing prognosis and negotiating treatment decisions 2

For example many physicians avoid discussions of life expectancy unless initiated by patients 13 When prognosis is discussed few physicians use quantitative terms or check the patient's understanding 14 As a result many physicians and patients with

Clinicians' Concerns About Communicating Prognostic Information Clinicians who advocate for nondisclosure of prognostic information often emphasize concerns about the patient's welfare including a belief that bad news may cause psychological harm 1 2 6 – 12 We worry that prognostic information will cause patients emotional distress 1 – 3 and take away hope 1 13 – 18 In addition

Patients identified at the Norris Cotton Cancer Center's tumor boards with a life-limiting cancer (prognosis of approximately 1 year) were eligible if they were within 8 to 12 weeks of a new diagnosis of gastrointestinal tract (unresectable stage III or IV) lung (stage

Communicating With Patients About Advanced Cancer

For instance patients may wish to maintain hope and avoid the emotional impact of a full understanding of their prognosis It may be that the right avenue in communicating prognoses to patients is not always through direct patient-physician discussions

2019/3/17For example a study involving 459 patients with advanced cancer found that more than half (55%) viewed quality of life and length of life as equally important (Cancer 2008 113: 3459–66) Just over one quarter of patients (27%) saw preservation of quality of life as being their priority while 18% opted for length of life as their preference

One third of patients had an incomplete understanding of their prognosis and patients generally overestimated their understanding when compared to hospital medical officers (HMOs) and nurses The severity of pain was underestimated by the HMOs in 63% to 89% of patients

A diagnosis of advanced cancer is devastating to patients and their families The cancer care team has typically been ineffective in communicating honestly but sensitively on issues of concern including treatment options prognosis and factors that affect quality-of-life

Compounding the difficulties in communication about prognosis patient‐provider communication tends to be worse (e g less information exchanged) for ethnic/racial minority patients including African Americans in the United States 6 9 14-17 Similar patterns 6

2016/9/21High-quality cancer care relies on effective patient-oncologist communication particularly among patients with advanced cancer whose emotional suffering may be quite intense Such suffering often manifests as anxiety and depression 1 and when patients are able to disclose their concerns fully they may cope better 2 3 Yet patients with cancer typically disclose only 50% of their emotional

Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness and their caregivers Josephine M Clayton Karen M Hancock Phyllis N Butow Martin H N Tattersall and David C Currow

1 Hagerty RG Butow PN Ellis PM Dimitry S Tattersall MH Communicating prognosis in cancer care: a systematic review of the literature Annals of Oncology 2005 16: 1005–1053 2 Glare P Sinclair CT Sone P Clayton JM "Predicting survival in patients