Handbook of Communication in Oncology and Palliative Care

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

• ISBN13: 9780199238361
• ISBN10: 0199238367
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-05-20
• Publisher: Oxford University Press

Summary

The Handbook of Communication in Oncology and Palliative Care is a comprehensive text; it 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 multidisciplinary team members involved in cancer care.

Author Biography

David Kissane began teaching physician-patient communication skills to Monash University medical students in Australia in the early 1980s and then incorporated experiential training into the subject Psycho-Oncology within the Postgraduate Diplomas of Palliative Medicine and Psycho-Oncology that he initiated in 1996 at the University of Melbourne during his tenure as foundation Professor and Director of Palliative Medicine. He is currently the incumbent in the Jimmie C. Holland Chair of Psycho-Oncology and Chairman of the Department of Psychiatry and Behavioral Sciences at Memorial Sloan-Kettering Cancer Center in New York. He is thus an Attending Psychiatrist at The Memorial Hospital for Cancer and Allied Diseases, and Professor of Psychiatry at the Weill Medical College of Cornell University. Across his 35-year medical career, he has trained in family medicine, psychiatry of the medically ill and palliative medicine. Dr. Kissane is the author of over 175 publications. Barry Bultz became Director in 1981 of the Department of Psychosocial Resources at the Tom Baker Cancer Center in Calgary, Alberta, where he has subsequently developed and leads one of the first interdisciplinary psychosocial oncology programs in Canada - Psychosocial Oncology, Supportive, Pain and Palliative Care. As a founding member and Past President of the Canadian Association of Psychosocial Oncology (CAPO), he has been an active member of the Canadian Consortium on Communication Skills Training. He is internationally regarded for the concept of emotional distress as the 6th vital sign and chaired the 1st Canadian conference in Psychosocial Oncology in 1985 and the 6th World Congress of Psycho-Oncology in 2003. He is also holds faculty appointments in Oncology, Psychiatry, Surgery and Psychology. He is the author of over 100 scholarly publications and serves on several editorial boards for cancer-related journals.
Phyllis Butow is currently Professor and National Health and Medical Research Council Principal Research Fellow in the School of Psychology, University of Sydney, where she co-directs the Centre for Medical Psychology and Evidence-based Medicine (CeMPED). She has worked in Psycho-Oncology for over 16 years, currently chairs the newly established Australian Psycho-Oncology Co-operative Research Group and has developed an international reputation in Health Communication. She developed a curriculum in communication skills for the University of Sydney medical program, chairs the National Breast and Ovarian Cancer Centre (NBOCC) Communication Skills Working Party, was a Principal Investigator on one national and one international randomized controlled trial of communication skills training, and has facilitated hundreds of communication skills courses for the NBOCC and the Pam McLean Cancer Communications Centre over the past 10 years. Prof Butow has over 200 publications in peer reviewed journals.
Ilora Finlay is a Consultant in Palliative Medicine and chronic pain at the Velindre NHS Trust, Cardiff. She is also an honorary Professor and was Vice Dean of the School of Medicine 2000-2005. Professor Finlay currently chairs the Palliative Care Strategy Implementation Board for the Welsh Assembly Government. She has published over 126 papers and seven books and holds senior editorial positions for medical journals such as Lancet Oncology and the Journal of Evaluation in Clinical Practice. In 1996, Baroness Finlay was named Welsh Woman of the Year in recognition for her work in the field of palliative care. In 2001, she was appointed a people's peer in the first open contest for membership of the House of Lords. In establishing the Diploma/MSc in Palliative Medicine (Cardiff University), she has trained hundreds of general practitioners in communication skills through experiential residential programmes, developing teaching tools and assessment methods.

Table of Contents

Preface	p. ix
Foreword	p. xi
Foreword	p. xiii
Contributors	p. xv
Introduction to communication studies in cancer and palliative medicine
The history of communication skills knowledge and training	p. 3
The art of teaching communication skills	p. 13
Theoretical models of communication skills training	p. 27
Shared treatment decision-making and the use of decision-aids	p. 41
The ethics of communication in cancer and palliative care	p. 51
Gender, power, and non-verbal communication	p. 63
Medical student training in communication skills	p. 75
Enhancing cancer patients' participation in medical consultations	p. 87
A core curriculum for communication skills training for oncology and palliative care
Breaking bad news	p. 101
Discussing prognosis and communicating risk	p. 113
Communication training to achieve shared treatment decisions	p. 127
Responding to difficult emotions	p. 135
Denial and communication	p. 147
Communicating with relatives/companions about cancer care	p. 157
Conducting a family meeting	p. 165
Communication about coping as a survivor	p. 177
Dealing with cancer recurrence	p. 191
Communication about transitioning patients to palliative care	p. 203
End-of-life communication training	p. 215
A specialty curriculum for oncology
Enrolment in clinical trials	p. 231
Working as a multidisciplinary team	p. 245
Communicating genetic risk	p. 259
Rehabilitative and salvage surgery	p. 269
Discussing unproven therapies	p. 281
The effect of internet use on the doctor-cancer patient relationship	p. 293
Promoting treatment adherence	p. 303
Communication strategies and skills for optimal pain control	p. 315
Discussing adverse outcomes with patients	p. 327
Clinical perspectives on shared decision-making	p. 339
Audio-recording important consultations for patients and their familities-putting evidence into practice	p. 351
Working with interpreters and achieving culturally competent communication	p. 361
Challenges in communicating with ethnically diverse populations	p. 375
Intercultural communication in palliative care	p. 389
Communicating about infertility risks	p. 399
Communicating about sexuality in cancer care	p. 409
Communication issues across the disciplines
The challenges and rewards of communication skills training for oncology and palliative care nurses in the United Kingdom	p. 425
Ambulatory care nurses responding to depression	p. 439
Social work support in settings of crisis	p. 449
Communication in cancer radiology	p. 459
Communication in surgical oncology	p. 473
Communication in non-surgical oncology	p. 479
Palliative medicine: communication to promote life near the end of life	p. 491
Communication issues in pastoral care and chaplaincy	p. 503
Communication in oncology pharmacy: the challenge of treatment adherence	p. 509
Psychosocial programme development	p. 521
Communication challenges with the elderly	p. 531
Issues for cognitively impaired elderly patients	p. 547
Communicating with children when a parent is dying	p. 557
Creative arts in oncology	p. 573
Education and training
Learner-centred communication training	p. 583
Facilitating skills practice in communication role-play sessions: essential elements and training facilitators	p. 597
The role of the actor in medical education	p. 607
Training patients to reach their communication goals: a concordance perspective	p. 619
International initiatives in communication training
The Oncotalk model	p. 631
The Swiss model	p. 641
The Australian model	p. 649
The United Kingdom general practitioner and palliative care model	p. 659
Communication skills training and research: the Brussels experience	p. 671
Research in cancer communication
Evaluating communication skills training courses	p. 683
Qualitative approaches to clinician-patient communication	p. 695
Issues in Coding Cancer Consultations: interaction analysis systems	p. 707
The Roter Interaction Analysis System (RIAS): applicability within the context of cancer and palliative care	p. 717
Table of Contents provided by Ingram. All Rights Reserved.