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Health professionals are reluctant to enquire actively about cancer patients' concerns and feelings. They fear that probing will damage patients psychologically and believe they have had insufficient training in the relevant interviewing skills. In considering how their interviewing skills might be improved, the key question is which interviewing behaviours(More)
In response to the growing awareness of the need to convey distressing information effectively, four workshops were held for doctors across Britain with the aim of improving skills, knowledge and attitudes. From the unexpectedly large response of 441 nominations, 20 participants were selected for each workshop. Participants identified four major concerns:(More)
Sample dialogues are presented to illustrate for physicians how to acknowledge their uncertainty concerning the prognosis of terminal cancer patients to family members, how to isolate concerns of the patient, and how to negotiate honest communication between patient and family members who have withheld from each other the truth of the patient's diagnosis. (More)
The assessment of a patient is an integral part of clinical management. It should be conducted in a way which maximizes the likelihood of patients disclosing all their main problems, whether physical, social or psychological in nature. Unfortunately, professional carers can be uncertain of their ability to do this. This flow diagram leads the carer through(More)
Patients with cancer must deal with a variety of psychological and social difficulties, but the extent to which staff assist patients with these difficulties is not clear. Using the Critical Incident Technique (CIT), patients attending a Cancer Centre were asked to describe situations in which their emotional needs were, and were not, met by staff. Although(More)