Truth may hurt, but deceit hurts more: communication in palliative care Flashcards Preview

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Flashcards in Truth may hurt, but deceit hurts more: communication in palliative care Deck (9):
1

In order to understand an individual's preference for whether they would like more or less information, what should be considered?

1. make vigorous attempts to understand their cultural bg instead of making assumptions

2

What % of the heterogenous sample of 2331 patients with cancer in the UK, 2017, expressed they wanted all possible info, good or bad?

87%

3

What gender differences were noted when looking at how much info a patient desired?

1. Women = wanted more info then men
2. Both = equal need to know whether or not it was cancer
+ what were the chances of cure

4

What age differences were noted when looking at how much info a patient desired?

1. Young = under 65 = more info
2. Both = knowing the chances of cure

5

What major and incorrect assumption does there seem to be about patients by doctors?

patients don't want lots of info and by withholding info = better
can = deliberate use of misleading + confusing terminology

6

In a qualitative analysis, assessing doctor's feedback of bad news, what 6 categories were used?

1. inexperienced messenger
2. Emotionally burdened
3. Rough + ready expert
4. Benevolent but tactless expert
5. Distanced doctor
6. Empathetic professional

= important to considered as it can help patients cope

7

What can be the consequences of doctor's giving information ambiguously or incompletely?

- not prepared for what lies ahead
- a misunderstanding (positive/ negative interpretation)

= so they should check exactly what the patient has understood before leaving consultation

8

A propensity to overestimate survival rather than underestimation from doctors. What explanation has be put forward for this?

better the doctor know the patient in terms of the length + intensity of their contract, the more likely the doctors is to overestimate survival

9

A large proportion of palliative patients were either thought to have significant psychological morbitiy when they did not + thought to be psychologically well when they needs extra healp. What explanation is there for this?

1. clinicians expect people w/ incurable disease to be psychologically distressed + lack communication skills to determine how patients are coping