'I Don't Have a Crystal Ball' - Why Do Doctors Tend to Avoid Prognostication?

Janett-Pellegri, Camilla; Eychmüller, Steffen (2021). 'I Don't Have a Crystal Ball' - Why Do Doctors Tend to Avoid Prognostication? Praxis, 110(15), pp. 914-924. Hogrefe 10.1024/1661-8157/a003785

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Uncertainty, fear to harm the patient, discomfort handling the discussion and lack of time are the most cited barriers to prognostic disclosure. Physicians can be reassured that patients desire the truth about prognosis and can manage the discussion without harm, including the uncertainty of the information, if approached in a sensitive manner. Conversational guides could provide support in preparing such difficult conversations. Communicating 'with realism and hope' is possible, and anxiety is normal for both patients and clinicians during prognostic disclosure. As a clinician pointed out: 'I had asked a mentor once if it ever got easier. - No. But you get better at it.'

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Medical Oncology

UniBE Contributor:

Eychmüller, Steffen

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Hogrefe

Language:

English

Submitter:

Beatrice Scheidegger

Date Deposited:

16 Dec 2021 08:38

Last Modified:

05 Dec 2022 15:55

Publisher DOI:

10.1024/1661-8157/a003785

PubMed ID:

34814721

Uncontrolled Keywords:

Arzt-Patienten-Beziehung Kommunikation Prognose Prognosis Pronostic Unsicherheit communication doctor-patient relationship incertitude relation médecin-patient uncertainty

BORIS DOI:

10.48350/161963

URI:

https://boris.unibe.ch/id/eprint/161963

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