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Learn the importance of truthful communication in palliative care to ease fear, anxiety, and confusion, and improve outcomes for patients and families. Understand the significance of conveying information honestly, encouraging patient-led conversations, and avoiding rushed discussions. References to relevant studies and guidelines included.
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Effective communication in Palliative Care by Jessie Orchard “… what people do not know does not harm them…” Fallow, Jenkins & Beveridge, 2002.
Silence= • Increased fear • Anxiety • Confusion • Denies patients and families to ‘prepare’ • Poorer outcome Kirk, Kirk & Kristjanson, 2004.
Conveying information… • Be honest • Avoid euphemisms • Encourage patient to lead conversation • Don’t rush through conversation Girgis and Sanson-Fisher ,1995.
references • Fallow, L. J., Jenkins, V. A., & Beveridge, H. A. (2002). Truth may hurt but deceit hurts more: communication in palliative care. Palliative Medicine, 16(4), 297-303. • Girgis, A., & Sanson-Fisher, R. W. (1995). Breaking bad news: consensus guidelines for medical practitioners. Journal of clinical oncology, 13, 2449-2456. • Grampians Regional Palliative Care. (2003). Breaking Bad News- explaining a bad cancer prognosis, Palliative Care Newsletter, 7(12). • Grampians Regional palliative Care. (2009). Talking about dying. E-Pal, .Retrieved July 15, 2009, from http://grpct.grampianspalliativecare .com.au/Epal/tabid/111/Default.aspx • Grampian Regional Palliative Care. (2005). What matters for the dying? e-Pal, 8(8). Retrieved Oct 3, 2009, from http:// grpct. Grampians palliativecare.com.au/Epal/tabid/111/Default.aspx • Kirk, P., Kirk, I., & Kristjanson, J. (2004). What do patients receiving palliative care for cancer and their families want to be told? British Medical Journal, 328, 1343.