Nurses And Patient Family Communication

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Physicians and patient family communication is integrated together when determining EOLC for the patient. Communication is defined as the basis of human connection, and allows for each side (patient/family and doctor) to understand the values and concerns of the other (Foster et al., 2010). Physicians also need to support parents and other family members, by providing a bridge to close the gap between the disease and the patient (Himelstein, Hilden, Boldt, & Weissman, 2004). This applies especially for children with cancer, communication between physicians and the family is crucial because it is ultimately the choice of the parents who decide how to proceed with the illness. Parents are more likely to have preferences, depending on their…show more content…
This ultimately results in pursuing highly intrusive interventions which are often associated with increased risk of life threatening complications (Wolfe et al., 2008). Research has been dedicated to improving EOLC for children with cancer. Wolfe et al. (2000) states that greater attention to symptom control and overall well-being of children with cancer can help ease suffering. Medical professionals should also recognize this problem and be more proactive when communication with parents, which will ultimately lead to a better quality of life for children who are dying of cancer. The assessment and management of symptoms in children are difficult to measure and there are few reliable and valid methods for measuring the suffering and quality of life for children with cancer. In a study that was conducted in a single institution, it was found that symptoms at the EOL was reported by parents more often than physicians, the children in the study suffered “a lot’ and the treatment of symptoms was ineffective (Himelstein et al., 2004). According to the parents, physicians mainly focused on the physical symptoms of the child. Most of the psychological symptoms of both the child and the parent were not acknowledged by health professionals (Theunissen et al., 2007). Despite this result, there have been substantial research conducted to create measures that can gauge the quality and effect of palliative care mostly for adults. However, data collected from these studies may be
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