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Navigating Communication with Seriously Ill Patients

Navigating Communication with Seriously Ill Patients

Navigating Communication with Seriously Ill Patients

Balancing Honesty with Empathy and Hope
2nd Edition
Robert M. Arnold, The University of Pittsburgh School of Medicine, Pittsburgh
Anthony L. Back, University of Washington Medical Center
Elise C. Carey, Mayo Clinic, Minnesota
James A. Tulsky, Dana-Farber Cancer Institute, Boston
Gordon J. Wood, Northwestern Memorial Hospital, Chicago
Holly B. Yang, Scripps Health, San Diego, California
June 2024
Available
Paperback
9781108925853
$39.99
USD
Paperback
USD
eBook

    When clinicians communicate effectively, patients retain more information, have higher trust and a better quality of life. Such a patient-centred approach is the future of clinical care, and this book is an essential how-to guide on improving these skills. Grounded in innovative and evidence-based methodology, perfected through over twenty years of teaching in the VitalTalk training program, content includes foundational communication skills, how to help patients plan for the future, what to do when you are really stuck, and strategies to work through conflicts with colleagues. In this updated edition, emphasis is placed on the roles privilege, race, and power play in the medical encounter, and new tools are provided to help clinicians navigate this landscape with greater self-awareness and sensitivity. This practical guide is filled with skills and roadmaps, demonstrating how to be clearer when sharing information, more competent at understanding patient concerns, and more effective when making recommendations.

    • Provides a practical approach to communication, following a progression that parallels how clinicians frequently work with seriously ill patients
    • Highlights specific skills to emulate and offers suggestions for how to practice these behaviors, allowing readers to engage in the material actively by providing a framework for practicing skills and teaching others
    • Provides snippets of conversations based on real-life experiences, demonstrating and clearly highlighting the skills described in the book. This brings the content to life, engaging clinicians emotionally with situations that feel familiar, and then carefully breaks down the skills in each scenario
    • Is the international standard for communication with seriously ill patients
    • Brings awareness of the roles privilege, race, and power play in the medical encounter and offers tools to more thoughtfully navigate this landscape, which will help clinicians communicate with greater self-awareness and sensitivity

    Reviews & endorsements

    ‘… an essential guide for clinicians or anyone working closely with seriously ill patients and their families. … Essential.’ S. Leslie, CHOICE

    See more reviews

    Product details

    April 2024
    Adobe eBook Reader
    9781108915717
    0 pages
    This ISBN is for an eBook version which is distributed on our behalf by a third party.

    Table of Contents

    • Preface
    • Acknowledgments
    • 1. Taking your skills to the next level
    • 2. Foundation communication skills
    • 3. Talking about serious news
    • 4. Discussing prognosis
    • 5. Planning for the future: discussing what's important, well before a crisis
    • 6. Discussing treatment decisions
    • 7. Between the big events
    • 8. Goals of care in late- stage disease
    • 9. Conducting a family conference
    • 10. Dealing with conflicts between clinicians and patients
    • 11. Working through conflicts with colleagues
    • 12. When you're really stuck
    • 13. Talking about dying
    • 14. Cultivating your skills
    • Index.
      Authors
    • Robert M. Arnold , The University of Pittsburgh School of Medicine, Pittsburgh

      Robert M. Arnold, MD, FACP, FAAHPM is Distinguished Service Professor of Medicine in the Division of General Internal Medicine and the Center for Bioethics and Health Law at the University of Pittsburgh. He was the Past-President of the American Society of Bioethics and Humanities as well as the American Academy of Hospice and Palliative Medicine (AAHPM). He has mentored both investigators and educators and helped start VitalTalk, a non-profit organization whose aim is to ensure that every seriously ill patient has clinicians who can talk about what matters most.

    • Anthony L. Back , University of Washington Medical Center

      Anthony L. Back, MD is Professor of Medicine at the University of Washington in Seattle. His research into patient-oncologist communication led to the founding of VitalTalk. His awards include the American Cancer Society (ACS) Pathfinder in Palliative Care Award, and the American Society of Clinical Oncology Walther Cancer Foundation Palliative and Supportive Care Award.

    • Elise C. Carey , Mayo Clinic, Minnesota

      Elise C. Carey, MD, FACP, FAAHPM is Associate Professor of Medicine at Mayo Clinic in Rochester, Minnesota and the Education & Faculty Development Chair for the Mayo Clinic Palliative Medicine Specialty Council. Dr. Carey currently serves on the Board of Directors of the American Academy of Hospice and Palliative Medicine and as a Strategic Partner and Distinguished Faculty with VitalTalk. She has been recognized nationally for her contributions to education and program development, including winning the Hastings Center Cunniff-Dixon Physician Award in 2014.

    • James A. Tulsky , Dana-Farber Cancer Institute, Boston

      James A. Tulsky, MD, FACP, FAAHPM is the Poorvu Jaffe Chair of the Department of Psychosocial Oncology and Palliative Care at Dana-Farber Cancer Institute, Chief of the Division of Palliative Medicine at Brigham and Women's Hospital, Professor of Medicine at Harvard Medical School, and a co-founder of VitalTalk. Dr Tulsky has received multiple awards for his work devoted to improving the experience for patients living with serious illness including the ACS Pathfinder in Palliative Care and the AAHPM Award for Research Excellence.

    • Gordon J. Wood , Northwestern Memorial Hospital, Chicago

      Gordon J. Wood, MD, MSCI, FAAHPM is Associate Professor of Medicine and Medical Education in the Section of Palliative Medicine at Northwestern University Feinberg School of Medicine. Dr Wood currently serves as the Associate Director of the Education in Palliative and End-of-Life Care (EPEC) Program and as a Strategic Partner and Distinguished Faculty with VitalTalk. He has received multiple awards including being named an Inspiring Hospice and Palliative Medicine Leader Under forty by the American Academy of Hospice and Palliative Medicine in 2014.

    • Holly B. Yang , Scripps Health, San Diego, California

      Holly B. Yang MD MSHPEd, HMDC, FACP, FAAHPM is the Scripps Health Co-Director of the UCSD/Scripps Health Hospice and Palliative Medicine Fellowship Program, and a Voluntary Associate Clinical Professor of Medicine at University of California, San Diego. She has been involved in interprofessional palliative care education nationally and internationally and has served as President of the American Academy of Hospice and Palliative Medicine. Dr. Yang is a Strategic Partner and Distinguished Faculty with VitalTalk.