The Cultivation of Prognostic Awareness Through the Provision of Early Palliative Care in the Ambulatory Setting: A Communication Guide

被引:177
作者
Jackson, Vicki A. [1 ]
Jacobsen, Juliet [1 ,2 ]
Greer, Joseph A. [3 ]
Pirl, William F. [3 ]
Temel, Jennifer S. [3 ]
Back, Anthony L. [4 ]
机构
[1] Massachusetts Gen Hosp, Div Palliat Care, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USA
[4] Univ Washington, Dept Med Oncol, Seattle, WA 98195 USA
关键词
DISCUSSING PROGNOSIS; CANCER-PATIENTS; INFORMATION; PATIENT; TALKING; WANT; HOPE;
D O I
10.1089/jpm.2012.0547
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Early, integrated palliative care delivered in the ambulatory setting has been associated with improved quality of life, lower rates of depression, and even prolonged survival. We outline an expert practice that provides a step-wise approach to cultivating prognostic awareness in patients cared for by a palliative care clinician early in the course of the patient's disease. This approach can be used by both novice and more experienced palliative care clinicians.
引用
收藏
页码:894 / 900
页数:7
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