Handbook of Communication in Oncology and Palliative Care

Handbook of Communication in Oncology and Palliative Care

by David Kissane, Ilora Finlay, Phyllis Butow, Barry Bultz

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ISBN-10: 0199238367

ISBN-13: 9780199238361

Pub. Date: 03/01/2010

Publisher: Oxford University Press, USA

This comprehensive text provides clinicians with practical and evidence-based guidelines to achieve effective, patient-centered communication in the areas of cancer and palliative care. Written by an outstanding panel of international experts, it integrates empirical findings with clinical wisdom, draws on historical approaches and presents a state-of-the-art


This comprehensive text provides clinicians with practical and evidence-based guidelines to achieve effective, patient-centered communication in the areas of cancer and palliative care. Written by an outstanding panel of international experts, it integrates empirical findings with clinical wisdom, draws on historical approaches and presents a state-of-the-art curriculum for applied communication skills training for the specialist oncologist, surgeon, nurse, and other multi-disciplinary team members involved in cancer care today.

In this book, communication is broken down into key modules that cover the life-cycle of cancer care. They include coverage of diagnosis and treatment including clinical trials, empathic support in response to distress, transition to survivorship or palliative therapies, discussion of prognosis, conduct of family meetings, and care of the dying. Complementary training of patients in their communication with the doctor completes the interactive dyad. The art of teaching, impact of gender, and power in the consultation and the ethical context are carefully considered.

Special communication challenges include discussion of genetic risk, rehabilitative and salvage surgery, promotion of treatment adherence, unanticipated adverse outcomes, intercultural issues, fertility, and sexuality. The value of decision aides, question prompt lists, audio-recording of consultations, and use of the internet is illustrated.

By looking across the full spectrum of disciplins involved in the multidisciplinary team, discipline-specific issues are considered by experts in each field. In this manner, the needs of patients and their relatives are evaluated, including paediatric and geriatric populations. To achieve all of this, theoretical models are examined from the medical school to the highly specialized practice, facilitation training and actor training are made explicit, and international approaches to communication skills training are compared and contrasted. Finally, research tools that assist in coding cancer consultations, evaluating training courses, and employing mixed methods in studies aid the reader in providing clear and sensitive communication when handling challenging situations while treating cancer sufferers and palliative care patients.

Product Details

Oxford University Press, USA
Publication date:
Product dimensions:
7.00(w) x 9.80(h) x 1.90(d)

Table of Contents

Preface ix

Foreword Michael Stefanek xi

Foreword Leslie Fallowfield xiii

Contributors xv

Section A Introduction to communication studies in cancer and palliative medicine

1 The history of communication skills knowledge and training Mack Lipkin 3

2 The art of teaching communication skills Stewart M Dunn 13

3 Theoretical models of communication skills training Richard Brown Carma L Bylund 27

4 Shared treatment decision-making and the use of decision-aids Cathy Charles Amiram Gafni 41

5 The ethics of communication in cancer and palliative care Laura A Siminoff 51

6 Gender, power, and non-verbal communication Marianne Schmid Mast Christina Klöckner Judith A Hall 63

7 Medical student training in communication skills Joshua Hauser Gregory Makoul 75

8 Enhancing cancer patients' participation in medical consultations Donald J Cegala Dana Eisenberg 87

Section B A core curriculum for communication skills training for oncology and palliative care

9 Breaking bad news Walter F Baile Patricia A Parker 101

10 Discussing prognosis and communicating risk Phyllis N Butow Martin HN Tattersall Martin Stockler 113

11 Communication training to achieve shared treatment decisions David W Kissane 127

12 Responding to difficult emotions Jennifer Philip David W Kissane 135

13 Denial and communication Linda Sheahan Simon Wein 147

14 Communicating with relatives/companions about cancer care Terrance L Albrecht Susan S Eggly John C Ruckdeschel 157

15 Conducting a family meeting Nessa Coyle David W Kissane 165

16 Communication about coping as a survivor Linda E Carlson Barry D Bultz 177

17 Dealing with cancer recurrence Lidia Schapira 191

18 Communication about transitioning patients to palliative care Josephine M Clayton David W Kissane 203

19 End-of-life communication training Tomer Levin Joseph S Weiner 215

Section C A specialty curriculum for oncology

20 Enrolment in clinical trials Richard Brown Terrance L Albrecht 231

21 Working as a multidisciplinary team Jane Turner 245

22 Communicating genetic risk Elizabeth Lobb Clara Gaff 259

23 Rehabilitative and salvage surgery Andrea Pusic Rachel Bell Diana Harcourt 269

24 Discussing unproven therapies Penelope Schofield Justine Diggens Sue Hegarty Catherine Charleson Rita Marigliani Caroline Nehill Michael Jefford 281

25 The effect of internet use on the doctor-cancer patient relationship Carma L Bylund Jennifer A Gueguen 293

26 Promoting treatment adherence Kelly B Haskard M Robin DiMatteo 303

27 Communication strategies and skills for optimal pain control Melanie Lovell Frances Boyle 315

28 Discussing adverse outcomes with patients Thomas H Gallagher Afaf Girgis 327

29 Clinical perspectives on shared decision-making Martin HN Tattersall 339

30 Audio-recording important consultations for patients and their familities-putting evidence into practice Thomas F Hack Lesley F Degner 351

31 Working with interpreters and achieving culturally competent communication Steven Klimidis Harry Minas 361

32 Challenges in communicating with ethnically diverse populations Bejoy C Thomas Joshua J Lounsberry Linda E Carlson 375

33 Intercultural communication in palliative care James Hallenbeck Vyjeyanthi S Periyakoil 389

34 Communicating about infertility risks Zeev Rosberger Jeanne Carter Marie Achille Barry D Bultz Peter Chan 399

35 Communicating about sexuality in cancer care John W Robinson Joshua J Lounsberry 409

Section D Communication issues across the disciplines

36 The challenges and rewards of communication skills training for oncology and palliative care nurses in the United Kingdom Sandra Winterburn Susie Wilkinson 425

37 Ambulatory care nurses responding to depression Anthony De La Cruz Richard Brown Steve Passik 439

38 Social work support in settings of crisis Carrie Lethborg Grace Christ 449

39 Communication in cancer radiology Kimberly Feigin Laura Liberman 459

40 Communication in surgical oncology Alexandra Heerdt Bernard Park Patrick Boland 473

41 Communication in non-surgical oncology Lai Cheng Yew E Jane Maher 479

42 Palliative medicine: communication to promote life near the end of life Ilora G Finlay Nicola Pease 491

43 Communication issues in pastoral care and chaplaincy Peter Speck Christopher Herbert 503

44 Communication in oncology pharmacy: the challenge of treatment adherence Venetia Bourrier Brent Schacter 509

45 Psychosocial programme development Barry D Bultz Paul B Jacobsen Matthew Loscalzo 521

46 Communication challenges with the elderly Ron Adelman Michelle Green 531

47 Issues for cognitively impaired elderly patients Andrew Roth Christian Nelson 547

48 Communicating with children when a parent is dying Cynthia W Moore Michele Pengelly Paula K Rauch 557

49 Creative arts in oncology Marilyn Hundleby Kate Collie Linda E Carlson 573

Section E Education and training

50 Learner-centred communication training Suzanne M Kurtz Lara J Cooke 583

51 Facilitating skills practice in communication role-play sessions: essential elements and training facilitators Carma L Bylund Richard Brown Barbara Lubrano di Ciccone Lyuba Konopasek 597

52 The role of the actor in medical education Paul Heinrich 607

53 Training patients to reach their communication goals: a concordance perspective Carma L Bylund Thomas A D'Agostino Betty Chewning 619

Section F International initiatives in communication training

54 The Oncotalk model Robert M Arnold Anthony T Back Walter F Baile Kelly Fryer-Edwards James A Tulsky 631

55 The Swiss model F Stiefel J Bernhard G Bianchi L Dietrich Ch Hürny A Kiss B Wössmer 641

56 The Australian model Caroline Nehill Alison Evans 649

57 The United Kingdom general practitioner and palliative care model Simon Noble Nicola Pease Ilora G Finlay 659

58 Communication skills training and research: the Brussels experience Isabelle Merckaert Yves Libert Darius Razavi 671

Section G Research in cancer communication

59 Evaluating communication skills training courses Lyuba Konopasek Marcy Rosenbaum John Encandela Kathy Cole-Kelly 683

60 Qualitative approaches to clinician-patient communication Felicia Roberts 695

61 Issues in Coding Cancer Consultations: interaction analysis systems Phyllis N Butow Sarah Ford 707

62 The Roter Interaction Analysis System (RIAS): applicability within the context of cancer and palliative care Debra Roter 717

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