Discussing Prognosis with Empathy to Cancer Patients
- PMID: 33718973
- DOI: 10.1007/s11912-021-01027-9
Discussing Prognosis with Empathy to Cancer Patients
Abstract
Purpose of review: Our goal was to provide healthcare professionals (HCPs) with evidence-based data about what can be done to handle prognostic discussions with empathy.
Recent findings: First, disclosing prognosis involves a good reason to do so and making sure that the patient will be able to process the discussion. Second, communication tips are given for the three dimensions of empathy: "establishing rapport with the patient," which should not be overlooked; the emotional dimension, which involves an accurate understanding of the patient and communication skills; and the "active/positive" dimension which is about giving hope, explaining things clearly and helping patients take control with shared decision-making and a planned future. Although communication tips are helpful, empathy training should be based more on the development of HCPs' emotional skills, in order to help them regulate their emotions and thus be more comfortable with those of patients and families. Furthermore, research into empathy toward minorities and relatives is needed.
Keywords: Bad news; Cancer care; Communication; Emotional skills; Empathy; Prognosis.
Similar articles
-
Patient-healthcare provider communication: perspectives of African American cancer patients.Health Psychol. 2012 Sep;31(5):539-47. doi: 10.1037/a0025334. Epub 2011 Sep 5. Health Psychol. 2012. PMID: 21895368
-
[Emotions Associated with Breaking Bad News in Pediatric Oncology and Parents-Pediatrician Communication: A Status Report].Bull Cancer. 2021 Apr;108(4):399-414. doi: 10.1016/j.bulcan.2020.11.018. Epub 2021 Mar 9. Bull Cancer. 2021. PMID: 33707034 Review. French.
-
A 3-stage model of patient-centered communication for addressing cancer patients' emotional distress.Patient Educ Couns. 2014 Feb;94(2):143-8. doi: 10.1016/j.pec.2013.09.025. Epub 2013 Oct 12. Patient Educ Couns. 2014. PMID: 24169023 Review.
-
Communication skills for discussing treatment options when chemotherapy has failed.Cancer J. 2010 Sep-Oct;16(5):521-3. doi: 10.1097/PPO.0b013e3181f28800. Cancer J. 2010. PMID: 20890150 Review.
-
Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.Patient Educ Couns. 2020 Nov;103(11):2328-2334. doi: 10.1016/j.pec.2020.04.032. Epub 2020 May 5. Patient Educ Couns. 2020. PMID: 32475710 Free PMC article.
Cited by
-
From Fear to Hopelessness: The Buffering Effect of Patient-Centered Communication in a Sample of Oncological Patients during COVID-19.Behav Sci (Basel). 2021 Jun 14;11(6):87. doi: 10.3390/bs11060087. Behav Sci (Basel). 2021. PMID: 34198572 Free PMC article.
-
Breast Cancer Survivors' Experiences of Managers' Actions During the Return to Work Process: A Scoping Review of Qualitative Studies.J Occup Rehabil. 2023 Dec;33(4):687-701. doi: 10.1007/s10926-023-10101-x. Epub 2023 Mar 31. J Occup Rehabil. 2023. PMID: 37010716
-
Facilitating patient-oncologist communication in advanced treatment-resistant cancer: development and feasibility testing of a question prompt list.Pilot Feasibility Stud. 2024 Aug 28;10(1):116. doi: 10.1186/s40814-024-01543-y. Pilot Feasibility Stud. 2024. PMID: 39198868 Free PMC article.
-
Developing an innovative national ACP-OSCE program in Taiwan: a mixed method study.BMC Med Educ. 2024 Mar 23;24(1):333. doi: 10.1186/s12909-024-05294-5. BMC Med Educ. 2024. PMID: 38521917 Free PMC article.
-
Impact of a brochure and empathetic physician communication on patients' perception of breast biopsies.Arch Gynecol Obstet. 2023 Nov;308(5):1611-1620. doi: 10.1007/s00404-023-07058-w. Epub 2023 May 20. Arch Gynecol Obstet. 2023. PMID: 37209201 Free PMC article. Clinical Trial.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
-
- Mack JW, Fasciano KM, Block SD. Communication about prognosis with adolescent and young adult patients with cancer: information needs, prognostic awareness, and outcomes of disclosure. J Clin Oncol. 2018;36(18):1861–7. https://doi.org/10.1200/JCO.2018.78.2128 . - DOI - PubMed
-
- Lippe M, Farya P, Jennifer M, Stanley A, Barbara J, Boone G. Communicating oncologic prognosis with empathy: a pilot study of a novel communication guide. Am J Hosp Palliat Med. 2020;37(12):1029–36. https://doi.org/10.1177/1049909120921834 . - DOI
-
- Geerse OP, Lamas DJ, Sanders JJ, Paladino J, Kavanagh J, Henrich NJ, et al. A qualitative study of serious illness conversations in patients with advanced cancer. J Palliat Med. 2019;22(7):773–81. https://doi.org/10.1089/jpm.2018.0487 . - DOI - PubMed
-
- Studer RK, Danuser B, Gomez P. Physicians’ psychophysiological stress reaction in medical communication of bad news: a critical literature review. Int J Psychophysiol. 2017;120:14–22. https://doi.org/10.1016/j.ijpsycho.2017.06.006 . - DOI - PubMed
-
- Habib AR, Cronin AM, Earle CC, Tulsky JA, Mack JW, Abel GA, et al. How do blood cancer doctors discuss prognosis? Findings from a National Survey of Hematologic Oncologists. J Palliat Med. 2019;22(6):677–84. https://doi.org/10.1089/jpm.2018.0441 . - DOI - PubMed - PMC
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials