Poor prognostication: hidden meanings in word choices
| Autor: | Anne Kelemen, Grace Kearney, Michael Pottash, Hunter Groninger |
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| Rok vydání: | 2017 |
| Předmět: |
Phrase
Psychotherapist media_common.quotation_subject Decision Making MEDLINE Medicine (miscellaneous) Guidelines as Topic 03 medical and health sciences 0302 clinical medicine Documentation Terminology as Topic Medicine Humans Conversation 030212 general & internal medicine Meaning (existential) Diagnostic Techniques and Procedures media_common Oncology (nursing) business.industry Interpretation (philosophy) Communication Palliative Care General Medicine Prognosis Medical–Surgical Nursing 030220 oncology & carcinogenesis Acute Disease Life expectancy Worry business |
| Zdroj: | BMJ supportivepalliative care. 7(3) |
| ISSN: | 2045-4368 |
| Popis: | Effective communication of prognosis to patients, families and other medical providers is critical for informed decision-making, particularly for patients at end of life. Research shows that patients who have a realistic sense of their life expectancy tend to approach treatment differently than those who do not.1 ,2 Despite worry among clinicians that providing realistic information will ‘take away hope’, both patients and families report better psychological outcomes as the result of prognosis discussions.3 ,4 Nevertheless, barriers persist. Aside from the practical difficulty of ascertaining a patient's life expectancy, the absence of a standardised language to express prognostic information can further obscure what is already uncertain. For example, the adjective grave —defined by Merriam-Webster as ‘very serious or dangerous to life’—conveys urgency but does not provide a specific time frame.5 Likewise, the phrase ‘poor prognosis’, used frequently in clinical documentation and in conversation with patients, can vary widely in meaning among medical providers. Even ‘hospice eligible’, which typically indicates a prognosis of 6 months or less, often resists such universal interpretation. We became interested in how clinicians themselves understand language employed … |
| Databáze: | OpenAIRE |
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