Hospice & Palliative Medicine

hope … certainty in the future …

… based on the strength of a present reality. “Engendering hope is important, because it helps the patient to confront the uncertain future.” Kylma et. al. summarize hope engendering interventions … affirmation of patient’s worth, working with the patient, considering the patient in a holistic sense, nurse’s reflection in action. Affirmation of the patient’s worth […]

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the relationship between silence and word …

… two aspects of communication which need to be kept in balance, to alternate and to be integrated with one another if authentic dialogue and deep closeness between people are to be achieved. When word and silence become mutually exclusive, communication breaks down, either because it gives rise to confusion or because, on the contrary,

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physician’s role as healer …

The Massachusetts Medical Society, anticipating attempts to decriminalize physician assisted suicide, voted overwhelmingly to affirm its opposition to physician assisted suicide as well as its embracing of the principles of palliative care and patient dignity. Lynda Young, M.D., president of the Society, said that “Physicians of our Society have clearly declared that physician-assisted suicide  is

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hope … a song without words …

Coulehan discusses hope, especially in the context of hospice and palliative care… “Studies of terminally ill patients have demonstrated clusters of personal and situational factors associated with enhancement or suppression of hope at the end of life. Enhancing factors included interpersonal connectedness, attainable goals, spiritual beliefs and practices, personal attributes of determination, courage, and serenity,

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anger … blame or need?

“The ability to interact effectively with  angry  patients is a  skill  that is often  learned with  experience and  is extremely useful in both transforming the patients’ reaction into a more creative emotion and  in developing a therapeutic relationship … Almost always, anger will resolve if the patient is given time, respect, clear information and consistency

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