Transitioning out of prognostic talk in discussions with families of hospice patients at the end of life: A conversation analytic study
| Autor: | Rebecca Anderson, Steven Bloch, Joseph Low, Patrick Stone |
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| Rok vydání: | 2021 |
| Předmět: |
Palliative care
media_common.quotation_subject Acknowledgement Context (language use) 03 medical and health sciences 0302 clinical medicine Nursing Humans Conversation 030212 general & internal medicine Comfort care media_common Terminal Care Communication 030503 health policy & services Palliative Care Hospices Health services research General Medicine Prognosis Death Hospice Care Conversation analysis Action (philosophy) 0305 other medical science Psychology |
| Zdroj: | Patient Education and Counseling. 104:1075-1085 |
| ISSN: | 0738-3991 |
| Popis: | Objective To examine transitions out of prognostic talk in interactions between clinicians and the relatives and friends of imminently dying hospice patients. Methods Conversation analysis of 20 conversations between specialist palliative care clinicians and the families of imminently dying patients in a hospice. Results Following the provision and acknowledgement of a prognostic estimate, clinicians were able to transition gradually towards making assurances about actions that could be taken to ensure patient comfort. When families raised concerns or questions, this transition sequence was extended. Clinicians addressed these questions or concerns and then pivoted to action-oriented talk, most often relating to patient comfort. Conclusion In conversations at the end of life, families and clinicians used practices to transition from the uncertainty of prognosis to more certain, controllable topics including comfort care. Practice Implications In a context in which there is a great deal of uncertainty, transitioning towards talk on comfort care can emphasise action and the continued care of the patient and their family. |
| Databáze: | OpenAIRE |
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