Skip to content

    Cancer Health Center

    Font Size
    A
    A
    A

    Communication in Cancer Care (PDQ®): Supportive care - Health Professional Information [NCI] - Communication Along the Disease Trajectory

    continued...

    During transitions, patients want their oncologists to provide biomedical information, show that they care about them as individuals, and balance hope with realism. One study [37] identified several communication strategies to accomplish this, including "ask-tell-ask" and "hope for the best, prepare for the worst." A number of patients are grateful for the opportunity to talk about questions of death, though they often have few opportunities because many patients find that the medical staff is afraid of or uncomfortable with talking about death and dying,[31] which exacerbates feelings of isolation and separation.

    Saying goodbye to patients is an area discussed in an article that provides practical suggestions for communicating with the patient at the end of life.[38] The authors suggest that saying goodbye is an important way for the oncologist to achieve closure with the patient by acknowledging the importance of the relationship and expressing appreciation to the patient.

    Strategies for Delivering Bad News

    When existential concerns are translated to the clinical setting, the optimal method of breaking bad news becomes a primary concern. Giving bad news abruptly has been found to increase its negative impact.[39] Patients also report particularly negative reactions as a result of the following circumstances:

    • News delivered over the telephone or in the recovery room.
    • Doctors withholding information.
    • Clinicians' failure to provide information about the availability of additional help.
    • Information given bluntly and factually (e.g., "You have a terminal cancer and you have 6 months to live").[40]

    Patients also report that letters and tapes of the bad news consultation are helpful and may increase their level of satisfaction with and retention of the information provided.[14]

    One survey found that most physicians do not have a consistent plan or strategy for breaking bad news to their patients.[39] Among a sample of physicians who attended an annual meeting of the American Society of Clinical Oncology, 22% reported that they did not have a consistent approach to the task of delivering bad news to patients, and 51.9% reported that they had several techniques or tactics but did not have an overall plan. Determining what patients believe to be important in the interaction may help refine the current guidelines and yield specific, evidence-based recommendations for facing this challenging task.[4]

    1 | 2 | 3 | 4 | 5 | 6 | 7
    1 | 2 | 3 | 4 | 5 | 6 | 7
    Next Article:

    Today on WebMD

    man holding lung xray
    What you need to know.
    stem cells
    How they work for blood cancers.
     
    woman wearing pink ribbon
    Separate fact from fiction.
    Colorectal cancer cells
    Symptoms, screening tests, and more.
     
    Jennifer Goodman Linn self-portrait
    Blog
    what is your cancer risk
    HEALTH CHECK
     
    colorectal cancer treatment advances
    Video
    breast cancer overview slideshow
    SLIDESHOW
     
    prostate cancer overview
    SLIDESHOW
    lung cancer overview slideshow
    SLIDESHOW
     
    ovarian cancer overview slideshow
    SLIDESHOW
    Actor Michael Douglas
    Article