Aims and Rationale презентация

Communication is the corner stone of the relationship
with the patient
Main aims:
creating a good inter-personal relationship,
exchanging information,
making treatment-related decisions
Aims and Rationale
shared decision-making approach, with patients being advised to educate themselves, ask questions and influence the course of the discussion with their doctors
“doctors knowing best” and decide what should be done for a patient

at least 30–40% of patients with serious medical illness present symptoms of emotional distress, anxiety, depression.
need help with overcoming their fears (51%),
finding hope (42%),
finding meaning in life (40%),
finding spiritual resources (39%),
finding someone to talk to about finding peace of mind (43%).
feeling of being a burden to others (87.1%),
feeling of not making a meaningful and/or lasting contribution in one’s own life (83.7%),
not feeling worthwhile or valued (81.4%).
Emotional needs of the patient

Barriers due to patient and families

Barriers due to healthcare provides

Among 9,344 healthy subjects, 73.9% of respondents endorsed the view of always being informed
when in the scenario of having a serious illness with less than 1 year to live
Good vs bad doctor

Preserving the sense of dignity

Some patients need to know all of the details about their situation, as a way of coping with the event (‘monitors’), while others tend to adopt an avoidant style by passing the management of their own situation
to family members or supportive figures (‘blunters’).
Patients with fighting coping styles tend to perceive communication that centres on how to deal with the situation as hopeful, while patients with fatalistic or stoic coping tend to regard a paternalistic communication style that is based on physician-centred decision-making as more hopeful.
Coping styles

Defence mechanisms

Attachment styles