Skip to main content

Kommunikation in der Palliativmedizin

  • Chapter
Basiswissen Palliativmedizin

Part of the book series: Springer-Lehrbuch ((SLB))

  • 4181 Accesses

Zusammenfassung

Jeder, der ein guter Arzt sein will, muss effektive Kommunikationsfertigkeiten besitzen. Diese Erwartung steht im Widerspruch dazu, dass Ärzte die Fähigkeit zu kommunizieren häufig als gegeben voraussetzen: entweder man kann »das« oder man kann »es eben nicht«. In der Palliativmedizin ist gute Kommunikation oft schwierig, aber sie kann nachweislich durch professionelle Ausbildung und Training verbessert werden. Manchmal ist Kommunikation das einzige, was wir in der Palliativmedizin noch »tun« können.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 19.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Vogel BA et al. (2006) Arzt-Patienten-Kommunikation in der Tumorbehandlung. Erwartungen und Erfahrungen aus Patientensicht. Z Med Psychol 15(4):149–161

    Google Scholar 

  2. Fallowfield LJ, Jenkins VA, Beveridge HA (2002)Truth may hurt but deceit hurts more. Communication in palliative care. Palliat Med 16:297–303

    Article  PubMed  CAS  Google Scholar 

  3. Barnett MM (2006) Does it hurt to know the worst? – psychological morbidity, information preferences and understanding of prognosis in patients with advanced cancer. Psycho-Oncology 15:44–55

    Article  PubMed  Google Scholar 

  4. Kai I, Ohi G, Yano E, Kobayashi Y, Miyama T, Niino N, Naka K (1993) Communication between patients and physicians about terminal care. A survey in Japan. Soc Sci Med 36:1151–1159

    Article  PubMed  CAS  Google Scholar 

  5. Schulz C, Karger A, Schnell MW (2011) Diversity-Kompetenz am Lebensende. In: Van Keuk E, Ghaderi C, Joksimovic L, David DM (Hrsg.) Diversity. Transkulturelle Kompetenz in klinischen und sozialen Arbeitsfeldern. Kohlhammer, Stuttgart, S. 242–256

    Google Scholar 

  6. Lavrentiadis G, Manos N, Christakis J, Semoglou C (1988) The Greek cancer patient‘s knowledge and attitudes towards his diagnosis and prognosis. Psychother Psychosom 49:171–178

    Article  PubMed  CAS  Google Scholar 

  7. Schulz C, Katerla J, Möller M, Karger A, Schnell MW (2009) How to evaluate the communication skills of palliative care professionals. European Journal of Palliative Care 16(5):236–239

    Google Scholar 

  8. Kübler-Ross E (2003) On death and dying: What the dying have to teach doctors, nurses, clergy, and their own families. Scribner, New York

    Google Scholar 

  9. Schulz C (2010) The encounter between dying patients and medical undergraduates during a course in end-of-life communication in the medical curriculum: a qualitative approach to insights into the patient perspective. Master Thesis. King‘s College London, Department of Palliative Care, Rehabilitation, Policy & Rehabilitation, in Publ.

    Google Scholar 

  10. Schulz C, Schnell MW (2009) Ausbildung in der Kommunikation als Grundlage der Begleitung am Lebensende. In: Schnell MW (2009) Patientenverfügung. Begleitung am Lebensende im Zeichen des verfügten Patientenwillens - Kurzlehrbuch für die Palliative Care. Huber, Bern

    Google Scholar 

  11. Dosanjh S, Barnes J, Bhandari M (2001) Barriers to breaking bad news among medical and surgical residents. Med Educ 35:197–205

    Article  PubMed  CAS  Google Scholar 

  12. Lloyd-Williams M (2008) Psychosocial issues in palliative care. Oxford University Press, New York

    Book  Google Scholar 

  13. Back A, Arnold RM, Tulsky JA (2009) Mastering communication with seriously ill patients. Balancing honesty with empathy and hope. Cambridge University Press, Cambridge

    Google Scholar 

  14. Kennifer SL, Alexander SC, Pollak KI, Jeffreys AS, Olsen MK, Rodriguez KL, Arnold RM, Tulsky JA (2009) Negative emotions in cancer care. Do oncologists’ responses depend on severity and type of emotion? Patient Educ Couns 76:51–56

    Article  PubMed  Google Scholar 

  15. Fischer G, Tulsky J, Arnold R (2000) Communicating a poor prognosis. In: Portenoy R, Bruera E (Hrsg.) Topics in palliative care. Oxford University Press, New York, S. 75–94

    Google Scholar 

Literatur

  1. Back AL, Anderson WG, Bunch L, Marr LA, Wallace JA, Yang HB, Arnold RM (2008) Communication about cancer near the end of life. Cancer 113:1897–1910

    Article  PubMed  Google Scholar 

  2. Schildmann J, Schildmann E (2009) Das Überbringen einer schlechten Nachricht. In: Langer T (Hrsg.) Das Arzt-Patient - Patient-Arzt Gespräch. Marseille, München, S. 89–98

    Google Scholar 

  3. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP (2000) SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5:302–311

    Article  PubMed  CAS  Google Scholar 

  4. Clayton JM et al. (2007) Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness, and their caregivers. Med J Aust 186(12):77–108

    Google Scholar 

  5. Goelz T, Wuensch A, Stubenrauch S, Bertz H, Wirsching M, Fritzsche K (2010) Addressing the Transition from Curative to Palliative Care. Concept and Acceptance of a Specific Communication Skills Training for Physicians in Oncology – COM-ON-p. Onkologie 33: 65–69

    Article  PubMed  Google Scholar 

  6. McCluskey L, Houseman G (2004) Medicare hospice referral criteria for patients with amyotrophic lateral sclerosis. A need for improvement. J Palliat Med 7:47–53

    Article  PubMed  Google Scholar 

Literatur

  1. Greisinger AJ, Lorimor RJ, La Aday, Winn RJ, Baile WF (1997) Terminally ill cancer patients. Their most important concerns. Cancer Pract 5:147–154

    PubMed  CAS  Google Scholar 

  2. Glare P, Sinclair C, Downing M, Stone P, Maltoni M, Vigano A (2008) Predicting survival in patients with advanced disease. Eur J Cancer 44:1146–1156

    Article  PubMed  Google Scholar 

  3. Lamont EB, Christakis NA (2003) Complexities in prognostication in advanced cancer: »to help them live their lives the way they want to«. JAMA 290:98–104

    Article  PubMed  Google Scholar 

  4. Glare PA, Sinclair CT (2008) Palliative medicine review: prognostication. J Palliat Med 11:84–103

    Article  PubMed  Google Scholar 

  5. Clayton JM et al. (2007) Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness, and their caregivers. Med J Aust 186:77–108

    Google Scholar 

Literatur

  1. Elwyn G, Edwards A, Wensing M, Hood K, Atwell C, Grol R (2003) Shared decision making. Developing the OPTION scale for measuring patient involvement. Qual Saf Health Care 12:93–99

    Article  PubMed  CAS  Google Scholar 

  2. Edwards A, Elwyn G (2001) Evidence-based patient choice: Inevitable or impossible? Oxford University Press, Oxford

    Google Scholar 

  3. Rodin G, Zimmermann C, Mayer C, Howell D, Katz M, Sussman J, Mackay JA, Brouwers M (2009) Clinician-patient communication: evidence-based recommendations to guide practice in cancer. Curr Oncol 16:42–49

    Article  PubMed  CAS  Google Scholar 

Literatur

  1. Hudson PL, Kristjanson LJ, Ashby M, Kelly B, Schofield P, Hudson R, Aranda S, O‘Connor M, Street A (2006) Desire for hastened death in patients with advanced disease and the evidence base of clinical guideline. A systematic review. Palliat Med 20:693–701

    Article  PubMed  Google Scholar 

  2. Johansen S, Holen JC, Kaasa S, Loge HJ, Materstvedt LJ (2005) Attitudes towards, and wishes for, euthanasia in advanced cancer patients at a palliative medicine unit. Palliat Med 19:454–460

    Article  PubMed  Google Scholar 

  3. Hudson PL, Schofield P, Kelly B, Hudson R, O‹Connor M, Kristjanson LJ, Ashby M, Aranda S (2006) Responding to desire to die statements from patients with advanced disease: recommendations for health professionals. Palliat Med 20:703–710

    Article  PubMed  Google Scholar 

  4. Nissim R, Gagliese L, Rodin G (2009) The desire for hastened death in individuals with advanced cancer: a longitudinal qualitative study. Soc Sci Med 69:165–171

    Article  PubMed  Google Scholar 

  5. Fegg MJ, Kramer M, L‹hoste S, Borasio GD (2008) The Schedule for Meaning in Life Evaluation (SMiLE). A validation of a new instrument for meaning-in-life research. J Pain Symptom Manage 35:356–364

    Article  PubMed  Google Scholar 

  6. Breitbart W (2002) Spirituality and meaning in supportive care. spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer 10:272–280

    Article  PubMed  Google Scholar 

Literatur

  1. Quill TE, Arnold RM, Platt F (2001) »I wish things were different«: expressing wishes in response to loss, futility, and unrealistic hopes. Ann Intern Med 135:551–555

    PubMed  CAS  Google Scholar 

  2. Kennifer SL, Alexander SC, Pollak KI, Jeffreys AS, Olsen MK, Rodriguez KL, Arnold RM, Tulsky JA (2009) Negative emotions in cancer care: do oncologists‹ responses depend on severity and type of emotion? Patient Educ Couns 76:51–56

    Article  PubMed  Google Scholar 

  3. Pantilat SZ (2009) Communicating With Seriously Ill Patients: Better Words to Say. JAMA 301:1279–1281

    Article  PubMed  CAS  Google Scholar 

  4. Fallowfield L, Jenkins V (2004) Communicating sad, bad, and difficult news in medicine. Lancet 363:312–319

    Article  PubMed  Google Scholar 

  5. Becker E (1985) Die Überwindung der Todesfurcht: Dynamik des Todes. Goldmann, München

    Google Scholar 

Literatur

  1. Bausewein C, Rémi C, Twycross R, Wilcock A (2005) Arzneimitteltherapie in der Palliativmedizin. Elsevier, München

    Google Scholar 

  2. Aktionsbündnis Patientensicherheit e.V.: Aus Fehlern lernen – Profis aus Medizin und Pflege berichten, (http://www.aktionsbuendnis-patientensicherheit.de/apsside/Aus_Fehlern_lernen_0.pdf [April 2011])

  3. Taylor-Adams S, Vincent C (2004) Systems analysis of clinical incidents. The London Protocol. London, St Mary Hospital, Clinical Safety, Research Unit

    Google Scholar 

  4. Hochreutener MA (2010) Wie sage ich’s dem Patienten? In: Borgwart J, Kolpatzik K (Hrsg.) Aus Fehlern lernen – Fehlermanagement in Gesundheitsberufen. Springer, Berlin

    Google Scholar 

  5. Patientensicherheit Schweiz (2009) Schriftenreihe Nr. 1 der Patientensicherheit Schweiz: Wenn etwas schief geht – Kommunizieren und Handeln nach einem Zwischenfall, Zürich

    Google Scholar 

  6. Borgwart J, Kolpatzik K (2010) Aus Fehlern lernen – Fehlermanagement in Gesundheitsberufen. Springer, Berlin

    Book  Google Scholar 

Literatur

  1. Müller M, Pfister D, Markett S, Jaspers B (2009) Wie viel Tod verträgt das Team? Palliativmed 2010; 11:227–234

    Google Scholar 

  2. Fengler J (2007) Entlastung des Personals, Burnout, Supervision. In: Aulbert E, Nauck F, Radbruch L (Hrsg.) Lehrbuch der Palliativmedizin. Schattauer, Stuttgart

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Schnell, M.W., Schulz, C. (2012). Kommunikation in der Palliativmedizin. In: Schnell, M.W., Schulz, C. (eds) Basiswissen Palliativmedizin. Springer-Lehrbuch. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19412-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-19412-2_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-19411-5

  • Online ISBN: 978-3-642-19412-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics