Hablandocon Latinos: Goals of Care Conversations with Latino Patients and Families (TH316)

Autor: Henry Rodriguez, Suzana Makowski, Madeleine Toland, Ankur Bharija
Rok vydání: 2014
Předmět:
Zdroj: Journal of Pain and Symptom Management. 47:396-397
ISSN: 0885-3924
DOI: 10.1016/j.jpainsymman.2013.12.042
Popis: patient after years of hopeful and significant treatment, the hospice chaplain expected to care for her family in their grief after the death of her sibling, and the rural family doctor dealing with multiple smalltown dual relationships who is caregiving for a dying patient/friend. 2. Demonstrate three responses to the grief described in the cases that can care for the caregiver: the use of counsel and deep listening with our palliative teammates and peers; the practice of meditation; and the consideration of personal writing of brief narratives as a means of living with, and growing through, grief. 3. Practice the use of counsel and deep listening in small groups, writing brief narratives of our loss, and guided meditation, thereby learning how these practices are tools that we can bring back to our professional worlds and our lives. As hospice and palliative medicine practitioners, we see more than our share of grief in our work, and we recognize how unacknowledged, unexpressed grief can be toxic to the physical and emotional health of patients and their families. But what about us? What challenges and expectations dowe face as physicians, nurses, and spiritual caretakers when a patient we have become close to dies, or whenwe stepout of ourprofessional arena and a dear friend or family member dies? Three cases will be presented: the family doctor and palliative care specialist in a rural setting, where dual relationships are common, who is asked by a friend and spiritual mentor to be her palliative care provider at the end of life; the chaplain who loses two family members in one year and is asked by the family to manage the memorial service and support family members in their grief; and the oncologist facing the death of a patient after years of hopeful and significant treatment who finds few supports for expressing and managing personal grief in the professional setting. The unacknowledged grief of oncologists has been shown to influence their subsequent practice behavior, including lengthening courses of chemotherapy in the patients encountered after a loss (L. Granek, 2012). We deserve acknowledgement and response to our grief across all palliative care provider roles and kinds of losses so that we can face our next end-of-life patient with objectivity and an open heart. We need the ‘‘spiritual toolbox’’ that meditation, peer support and deep listening in small groups, and the humanities can provide to support us through our grief, inside and outside of our professional work setting.
Databáze: OpenAIRE
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