When a Patient Is Reluctant To Talk About It: A Dual Framework To Focus on Living Well and Tolerate the Possibility of Dying

Many patients with serious illness struggle to talk about the possibility of dying; yet basic prognostic awareness is crucial for informed decision making. In this article, we aim to help outpatient clinicians working with seriously ill patients ambivalent, uncomfortable, or fearful of further discu...

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Bibliographic Details
Published inJournal of palliative medicine Vol. 21; no. 3; p. 322
Main Authors Jacobsen, Juliet, Brenner, Keri, Greer, Joseph A, Jacobo, Michelle, Rosenberg, Leah, Nipp, Ryan D, Jackson, Vicki A
Format Journal Article
LanguageEnglish
Published United States 01.03.2018
Subjects
adaptation
coping
prognostic awareness
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Summary:Many patients with serious illness struggle to talk about the possibility of dying; yet basic prognostic awareness is crucial for informed decision making. In this article, we aim to help outpatient clinicians working with seriously ill patients ambivalent, uncomfortable, or fearful of further discussion about the future. We describe a dual framework that focuses on living well while acknowledging the possibility of dying and equips clinicians to help patients hold both possibilities. This dual framework facilitates the developmental process of living as fully as possible while also preparing for the possibility of dying.
ISSN:1557-7740
DOI:10.1089/jpm.2017.0109