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Handbook of Communication in Oncology and Palliative Care$
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David Kissane, Barry Bultz, Phyllis Butow, and Ilora Finlay

Print publication date: 2010

Print ISBN-13: 9780199238361

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199238361.001.0001

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ContentsFRONT MATTER

End-of-life communication training

Chapter:
(p.215) Chapter 19 End-of-life communication training
Source:
Handbook of Communication in Oncology and Palliative Care
Author(s):

Tomer Levin

Joseph S Weiner

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199238361.003.0019

Experience alone is not enough to ensure optimal doctor-patient communication at the end of life — formal communication skills training (CST) is necessary to produce improved outcomes. This chapter outlines the goals and strategies for end-of-life CST, emphasising common decision-making dilemmas, such as withdrawal of life-extending treatment and do-not-resuscitate directives. Common pitfalls seen in training are identified. The goal of end-of-life communication training is discussed, along with smoother implementation of palliative care, patient-centred communication in cancer care, and specific strategies for end-of-life communication such as gathering specific information about wishes and thoughts regarding death and dying.

Keywords:   communication skills training, end of life, decision-making, life-extending treatment, do-not-resuscitate directives, palliative care, patient-centred communication, cancer care, death, dying

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