Breaking the bad news of cancer : The patient's perspective.
Meeting of the Eastern Section of the American Laryngological, Rhinological and Otological Society, Inc. Providence, RI, USA, 1999/01/31.
Head and neck cancers present a special challenge to the patient and the physician because they affect the quintessential aspects of living such as breathing, eating, and speaking.
Numerous articles have described how the physician should perform the difficult task of conveying bad news, but only a small number of articles specifically assess the patients'perceptions when being told of a serious diagnosis.
The purpose of this survey was to evaluate the thoughts and concerns of patients receiving diagnoses of head and neck cancer.
A 41-item questionnaire was sent to head and neck cancer patients who have been treated for and remain free of disease for at least 2 years.
All of the respondents felt that their diagnosis was adequately explained to them and that no further explanations were necessary.
Eighty-one percent of the respondents did not wish to have anyone else present at the time of diagnosis.
Additionally, 75% of the respondents did not want the physician to touch their hands or hug them when given the bad news.
Only 63% of the respondents had further discussions with family, friends, or other physicians after being told of their diagnosis.
When patients are told of the diagnosis of head and neck cancer, they want their physician to be truthful, caring, and compassionate. (...)
Mots-clés Pascal : Carcinome épidermoïde, Tête cou, Perception, Malade, Diagnostic, Médecin, Perspective, Enquête, Déontologie, Homme, Tumeur maligne, ORL pathologie
Mots-clés Pascal anglais : Squamous cell carcinoma, Head and neck, Perception, Patient, Diagnosis, Physician, Perspective, Survey, Deontology, Human, Malignant tumor, ENT disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0379474
Code Inist : 002B30A09. Création : 22/03/2000.