Skip to main content
SpringerLink
Log in

The Healthcare System: More Questions than Answers

  • Chapter
  • First Online:
Essentials of Palliative Care

  • 3153 Accesses

Abstract

The ability to effectively communicate with the patient and their families during what is the most difficult time in their live is essential. The goals of care change from cure to palliate and provide comfort. Knowing the questions to ask and what should be asked provide everyone with a better opportunity to achieve a care plan that is attainable. Skills discussed includes providers listening as well as informing, putting aside one set of goals and focusing on another, and providing information and resources that can allow the family to make informed decision about the future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. McBride D. End of life care for advanced lung cancer differs between U.S. and Canadian patients. ONS Connect. 2011;26(8):21.

    PubMed  Google Scholar 

  2. Pullis B. Perceptions of hospice care among African Americans. J Hosp Palliat Nurs. 2011;13(5):283–7.

    Google Scholar 

  3. Healthnet. Navigating the health care system: a resource guide for consumers. 2008; Apr 1–14.

    Google Scholar 

  4. Brant JM. Practical approaches to pharmacologic management of pain in older adults with cancer. Oncol Nurs Forum. 2010;37(5):S17–26.

    Article  Google Scholar 

  5. Martz K, Gerding A. Perceptions of coordination of care between hospice and skilled nursing facility care providers. J Hosp Palliat Nurs. 2011;13(4):210–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 2537 Millbrae Ave, Duarte, CA, 91010, USA

    Jackie D. D. Carter R.N., M.S.N., C.N.S.

  2. Department of Nursing, LAC+USC Medical Center, 1200 N. State Street, Los Angeles, CA, 90033, USA

    Jackie D. D. Carter R.N., M.S.N., C.N.S.

Authors
  1. Jackie D. D. Carter R.N., M.S.N., C.N.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jackie D. D. Carter R.N., M.S.N., C.N.S. .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University, New Haven, 06520, Connecticut, USA

    Nalini Vadivelu

  2. Citrus Road 278, River Ridge, 70123, Louisiana, USA

    Alan David Kaye

  3. Keck School of Medicine, Department of Anesthesiology, Pain Medic, of the University of Southern California, Los Angeles, 90035, California, USA

    Jack M. Berger

Appendices

Review Questions

  1.  1.

    In order to assist the patient and family is important to

    1. (a)

      Listen to their questions

    2. (b)

      Assess their needs

    3. (c)

      Determine services available

    4. (d)

      All of the Above

  2.  2.

    Patients and their families will ask questions that include all the following except:

    1. (a)

      Are you sure of the diagnosis?

    2. (b)

      Why is the treatment not working?

    3. (c)

      You know all the answers, don’t you?

    4. (d)

      How did this happen?

  3.  3.

    Emotions that the provider might experience include:

    1. (a)

      Comfortable

    2. (b)

      Peaceful

    3. (c)

      Happy

    4. (d)

      Content

  4.  4.

    The provider should use euphemisms in order to make the patient and family feel more comfortable?

    1. (a)

      True

    2. (b)

      False

  5.  5.

    Questions the providers should ask themselves prior to meeting with the patient and family include all of the following

    1. (a)

      What will the procedure accomplish?

    2. (b)

      What is the patient and families goal?

    3. (c)

      Will the therapy or procedure be painful?

    4. (d)

      All of the above

  6.  6.

    What resource can best assist the provider with the care plan?

    1. (a)

      Patient

    2. (b)

      Chaplain

    3. (c)

      Social workers

    4. (d)

      Case managers

  7.  7.

    What questions should the providers ask the patient and their family

    1. (a)

      What is your understanding of the patients’ condition?

    2. (b)

      What is the expectation of therapy

    3. (c)

      What treatment plan is the patient following

    4. (d)

      All of the above

  8.  8.

    All families are more comfortable if their family member can die at home amongst family?

    1. (a)

      True

    2. (b)

      False

  9.  9.

    The availability of information via the computer can provide patients and their families with a wealth of accurate information?

    1. (a)

      True

    2. (b)

      False

  10. 10.

    The type of insurance the patient has does not limit the care that is available to the patient?

    1. (a)

      True

    2. (b)

      False

Answers

  1.  1.

    (d)

  2.  2.

    (c)

  3.  3.

    (b)

  4.  4.

    (b)

  5.  5.

    (d)

  6.  6.

    (a)

  7.  7.

    (d)

  8.  8.

    (b)

  9.  9.

    (b)

  10. 10.

    (b)

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Carter, J.D.D. (2013). The Healthcare System: More Questions than Answers. In: Vadivelu, N., Kaye, A., Berger, J. (eds) Essentials of Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5164-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5164-8_12

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5163-1

  • Online ISBN: 978-1-4614-5164-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation