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Palliative Care pp 7–12Cite as

Palliative Care Communication Issues

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Part of the book series: Current Clinical Oncology ((CCO))

Abstract

Difficult conversations for patients and families can be challenging for physicians and other healthcare providers as well. Optimal preparation for conversations about bad news, prognosis, goals of care, and hospice can make them more effective and less of a burden. The SPIKES strategy can assist in preparing and implementing these difficult conversations with patients and families. Effective communication can be made a priority by addressing issues proactively with colleagues.

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Further Reading

  • Buckman RA (2005) Breaking bad news: the S-P-I-K-E-S strategy. Commun Oncol 2:138–142

    Article  Google Scholar 

  • Casarett DJ, Quill TE (2007) “I’m not ready for hospice”: strategies for timely and effective hospice discussions. Ann Intern Med 146:443–449

    PubMed  Google Scholar 

  • Kaldjian LC, Curtis AE, Shinkunas LA, Cannon KT (2009) Review article: goals of care toward the end of life: a structured literature review. Am J Hosp Palliat Care 25:501

    Article  Google Scholar 

  • Lamont EB, Nicholas A, Christakis NA (2003) Complexities in prognostication in advanced cancer, “To help them live their lives the way they want to”. JAMA 290:98–104

    Article  PubMed  Google Scholar 

  • Lynn J (2001) Serving patients who may die soon and their families: the role of hospice and other services. JAMA 285:925–932

    Article  PubMed  CAS  Google Scholar 

  • Stone C, Tiernan E, Dooley B (2008) Prospective validation of the palliative prognostic index in patients with cancer. J Pain Symptom Manage 35(6):617–622

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine, Buehler Center on Aging, Health and Society, Palliative Care and Home Hospice Program, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA

    Joshua Hauser MD

Authors
  1. Joshua Hauser MD
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Corresponding author

Correspondence to Joshua Hauser MD .

Editor information

Editors and Affiliations

  1. School of Medicine, Washington University, P.O Box 8373, St. Louis, 63132, USA

    Jane E. Loitman

  2. Kansas City Hospice & Palliative Care, Ward Parkway, Suite 100 9221, Kansas City, 64114, USA

    Christian T. Sinclair

  3. MD Anderson Cancer Center, General Oncology Program, The University of Texas, Holcombe Blvd. 1515, Houston, 77030, USA

    Michael J. Fisch

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Hauser, J. (2010). Palliative Care Communication Issues. In: Loitman, J., Sinclair, C., Fisch, M. (eds) Palliative Care. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-590-3_2

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  • DOI: https://doi.org/10.1007/978-1-60761-590-3_2

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-589-7

  • Online ISBN: 978-1-60761-590-3

  • eBook Packages: MedicineMedicine (R0)

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