one quick paragraph for each questions

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Day18SC.pdf

PATIENT- CAREGIVER

COMMUNICATION Day 18

AGENDA Review Li et al. (2020) Malhotra et al. (2020) Activity Homework

1. 2. 3. 4. 5.

FAMILY CAREGIVER COMMUNICATION

(Wittenberg et al., 2017)

FAMILY CAREGIVER COMMUNICATION

(Wittenberg et al., 2017)

FAMILY CAREGIVER COMMUNICATION

(Wittenberg et al., 2017)

FAMILY CAREGIVER COMMUNICATION

(Wittenberg et al., 2017)

LI ET AL. (2020) (PP. 4-6) "Cancer Patients & Caregivers have diff COM needs"(p. 1)

Target (WHO-wish to talk with) Healthcare professionals Peers Patients Caregivers ETC **decide with whom and when to talk and context

Content (WHAT-they wish to talk about) disease-related info

reducing symptoms (pain & breathing), emotional management (anxiety & fear)(CAREGIVER NEEDS) diagnosis(results), treatment, rehab, and prognosis (PATIENT NEEDS)

emotional support providing empathy & emotional convos (CAREGIVER NEEDS) cared for, supported, understood, encouraged, (PATIENT NEEDS) diagnosis and final stage

daily life breast, ovarian & rectal cancer

info about eating, exercise, and maintaining a healthy weight

metastatic breast cancer normal working life maintain QOL

head and neck cancer using the bathroom

sex/fertility about sex history (diagnosis) (PATIENT) fertility after diagnosis (PATIENT)

death clarify knowledge of death & how to COM with the patient (CAREGIVER) widowers talk about death-prepare to say goodbye (CAREGIVER)

"Cancer Patients & Caregivers have diff COM needs"(p. 1) Style (HOW-COM style)

honesty, compassion, patience, respect, and balance btw truth and hope (BOTH) empathy, competence, honesty, patience & respect (PATIENTS) empathy and sincerity (BOTH) struggled with authenticity and hope balance (BOTH) Australia-providers use direct language about death (PROVIDERS) ability to ask questions easy words to understand importance of delivery (caregiver and provider, step by step from providers to patients) personalized advice diff com for diff stages of cancer diff COM channels (FTF, a phone call- older) (social media and the Internet)

Timing (WHEN-COM timing needs) info early on (BOTH)

say goodbye before things are needed

when things become bad

LI ET AL. (2020) (P. 6) (CONT.)

MALHOTRA ET AL. (2020) oncologist-patient/caregiver communication intervention

TEAMS "training oncologists and empowering patients in effective communication during medical consultation in Singapore" (p. 1)

Feasible & acceptable to oncologists Improved more empathic responses (oncologists) Improved oncologist-patient/caregiver

prognosis goals of care frequency