Before a patient receives the care known as palliative
care, They had to experience other stages of the disease. A concept that always
caught my attention is the way in which a doctor or nurse have to communicate
with patients, more particularly when they have to deliver bad news.
Setting this way of relating care requires by Health Professionals and special medical
oncologists a major training effort in terms of the skills and techniques in
communication and information.
THE
TRUTH BEARABLE
This concept originated in Spain in the period of
transition between the silent doctor - family and the current right to know,
establishing a bridge between medical paternalism and the current view of
shared decision, The Spanish health system characteristics promote in the
process of getting patients to the Medical Oncology.
Department received
information can be very variable, can range from clear information specific to
almost any information.
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If news reporting means giving something, inform
patients of their disease aspects aims to share knowledge with him. That
knowledge is an ethical law the patient has but in no case can be considered an
obligation, therefore, it is up to him/her the decision of how far to go to
know. As our professional obligation to inform the patient, the meaning of that
information has to be meaningful help to know a reality, allowing them to
continue taking their own decisions. However, we must accept that information is
never neutral, depending on the context, the way of transmission, expectations
... the same information can be converted to the patient's eyes in a good or
bad news.
It helps us to base relationship on respect and trust.
To humanize treatment increasing both the quality of life of patients and their
satisfaction with their treatment, optimizing their level of emotional
adjustment to disease by reducing fears, the feeling of loneliness, anguish and
uncertainty of the process.
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It also improves the feeling of self-control and
self-esteem thus giving strength to face the hardest times of illness.
Significantly decreases the level of occupational
stress, helps control symptoms and increase satisfaction and adherence to
prescribed regimens.
REFERENCES:
Hoffman M, Ferri J, Sison C, et al. Teaching
communication skills: an AACE survey of oncology training programs.J Cancer
Educ. 2004; 19: 220‐224.
Baile W, Aaron J. Patient‐physician communication in oncology: past, present,
and future. Curr
OpinOncol. 2005; 17: 331 – 335
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