Cancer communication near the end of life has a growing evidence base, and requires clinicians to draw on a distinct set of communication skills. Patients with advanced and incurable cancers are dealing with the emotional impact of a life-limiting illness, treatment decisions that are complex and frequently involve consideration of clinical trials, and the challenges of sustaining hope while also having realistic goals. In this review, the authors sought to provide a guide to important evidence about communication for patients with advanced cancer regarding communication at diagnosis, discussing prognosis, decision making about palliative anticancer therapy and phase 1 trials, advance care planning, transitions in focus from anticancer to palliative care, and preparing patients and families for dying and death.

译文

生命即将结束的癌症交流具有越来越多的证据基础,并且要求临床医生利用一套独特的交流技巧。患有晚期和无法治愈的癌症的患者正在处理限制生命的疾病的情感影响,复杂且经常涉及临床试验的治疗决策,以及在维持希望的同时也具有现实目标的挑战。在这篇综述中,作者试图为晚期癌症患者的沟通提供重要证据指南,包括诊断时的沟通,讨论预后,姑息抗癌治疗的决策和1期试验,预先护理计划,从抗癌到姑息治疗的重点过渡,让病人和家人为死亡做好准备。

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