Posted on Leave a comment

Clinicians as Communication Coaches – Preparing Patients for Difficult Conversations

Posted on Leave a comment

Author: Betty R. Ferrell, PhD, RN

Tired of Treatment

Paulo is a 49-year-old man with a recurrent brain tumor; he is now hospitalized after experiencing seizures. The tumor was diagnosed when Paulo was 44 years of age, and he has had extensive surgery, chemotherapy, and radiation therapy.

Three months ago, the brain tumor team advised Paulo and his family that there were no further treatment options; his family then took him to Mexico, where he has had numerous herbal therapies and traditional folk remedies. He has experienced weight loss, increasing severe headaches, nausea, and now seizures.

After a severe seizure last week, his girlfriend brought him back to the emergency department for care. He says that he is tired of treatment and being taken far away and wishes that his girlfriend and children would “give up and just let me be at home, so I can play with my dog and be with my friends.”

As the nurse practitioner, how should you respond to Paulo’s statement?

Assure Paulo that you understand his distress, but that he needs to continue treatments that will prolong his life.

Suggest that Paulo and his girlfriend come to the clinic, and you will arrange a family conference with his clinicians.

Arrange for Paulo to come to the clinic alone, so you can help him communicate his goals.

Explain that herbal and folk remedies have probably made his condition worse.

– GDMeds, an India Pharmacy Service company

  • [Disclaimer]The Site is operated by GDMeds and all rights thereto are owned and reserved by GDMeds. The contents and works on these pages compiled by GDMeds are subject to copyright law. Copying, processing, distribution and any kind of use outside the limits of copyright law require the written consent of GDMeds In case the content is not created by GDMeds the copyrights of third parties are being observed. However, if a user becomes aware of a copyright infringement, GDMeds asks the user for notification. Upon notification of such violations, GDMeds will remove the content immediately.
  • [免责声明]本网站由印度极得美运营。印度极得美拥有和保留一切权利。印度极得美的网页内容及文档受版权法保护。复制、加工、传播及任何超出版权法限制的任何使用行为均必须得到印度极得美书面许可。如相关内容如非由印度极得美创作,需遵守第三方的版权,特别是标示为第三方内容的。如用户发现侵犯版权的行为,请通知极得美。一旦收到违反通知,极得美将立刻移除相关内容。
  • [отказ]Сайт управляется GDMeds, и все права на него принадлежат и зарезервированы GDMeds. Содержание и работы на этих страницах, составленные GDMeds, защищены законом об авторском праве. Копирование, обработка, распространение и любое использование вне пределов авторского права требуют письменного согласия GDMeds. Если контент не создан GDMeds, то соблюдаются авторские права третьих лиц. Однако, если пользователь узнает о нарушении авторских прав, GDMeds запрашивает у пользователя уведомление. После уведомления о таких нарушениях GDMeds немедленно удалит контент.
Leave a Reply

Your email address will not be published. Required fields are marked *