Disclosing bad news of cancer: patients’ preference for communication
Introduction: The majority of cancer patients’ relatives in developing countries, especially in Pakistan prefers and demand, and in most times impose a “do not tell approach”, while counselling for patients disease. Thus, the aim of the current study is to first assess patients’ understanding about...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2021-11-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/215 |
| _version_ | 1797820723256885248 |
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| author | Sabah Uddin Saqib Khawaja Muhammad Inam Pal |
| author_facet | Sabah Uddin Saqib Khawaja Muhammad Inam Pal |
| author_sort | Sabah Uddin Saqib |
| collection | DOAJ |
| description |
Introduction: The majority of cancer patients’ relatives in developing countries, especially in Pakistan prefers and demand, and in most times impose a “do not tell approach”, while counselling for patients disease. Thus, the aim of the current study is to first assess patients’ understanding about his or her disease and see preferences regarding the manner in which physicians’ deliver news about cancer diagnosis and its management plan.
Material and methods: This was a cross-sectional qualitative study. Patients were approached and interviewed while having their regular follow-up. An immediate relative of the patient was also included in the study to see family perception regarding disease after their consent. This study enrolled 55 patients with 6 different types of cancers.
Results: This study shows that 35 (65.5%) patients did not know stage at diagnosis while 40 (72.7%) patients did not know the current stage of their disease. In 22 (40%) cases, patient’s family knew diagnosis ahead of patient and 19 (86.3%) families asked clinicians to hide diagnosis news from the patient. This study demonstrates, specialist oncologist for breaking news, family counseling, helping patient to figure out how to tell diagnosis to others, telling news directly to the patient and the effects of cancer on daily life are preferred area to communicate on first visit.
Conclusion: Disclosing cancer news is always an unfavorable experience not only for patient and family but also clinician as well. In our population both patient understanding and communication demands improvements.
Continuous...
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| first_indexed | 2024-03-13T09:42:27Z |
| format | Article |
| id | doaj.art-5d70551832b9403984570cc254198839 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:42:27Z |
| publishDate | 2021-11-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-5d70551832b9403984570cc2541988392023-05-25T04:24:09ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822021-11-0171410.47391/JPMA.03-414Disclosing bad news of cancer: patients’ preference for communicationSabah Uddin Saqib 0Khawaja Muhammad Inam Pal1Department of Surgery, Aga Khan University Hospital, Karachi, PakistanDepartment of Surgery, Aga Khan University Hospital, Karachi, Pakistan Introduction: The majority of cancer patients’ relatives in developing countries, especially in Pakistan prefers and demand, and in most times impose a “do not tell approach”, while counselling for patients disease. Thus, the aim of the current study is to first assess patients’ understanding about his or her disease and see preferences regarding the manner in which physicians’ deliver news about cancer diagnosis and its management plan. Material and methods: This was a cross-sectional qualitative study. Patients were approached and interviewed while having their regular follow-up. An immediate relative of the patient was also included in the study to see family perception regarding disease after their consent. This study enrolled 55 patients with 6 different types of cancers. Results: This study shows that 35 (65.5%) patients did not know stage at diagnosis while 40 (72.7%) patients did not know the current stage of their disease. In 22 (40%) cases, patient’s family knew diagnosis ahead of patient and 19 (86.3%) families asked clinicians to hide diagnosis news from the patient. This study demonstrates, specialist oncologist for breaking news, family counseling, helping patient to figure out how to tell diagnosis to others, telling news directly to the patient and the effects of cancer on daily life are preferred area to communicate on first visit. Conclusion: Disclosing cancer news is always an unfavorable experience not only for patient and family but also clinician as well. In our population both patient understanding and communication demands improvements. Continuous... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/215 |
| spellingShingle | Sabah Uddin Saqib Khawaja Muhammad Inam Pal Disclosing bad news of cancer: patients’ preference for communication Journal of the Pakistan Medical Association |
| title | Disclosing bad news of cancer: patients’ preference for communication |
| title_full | Disclosing bad news of cancer: patients’ preference for communication |
| title_fullStr | Disclosing bad news of cancer: patients’ preference for communication |
| title_full_unstemmed | Disclosing bad news of cancer: patients’ preference for communication |
| title_short | Disclosing bad news of cancer: patients’ preference for communication |
| title_sort | disclosing bad news of cancer patients preference for communication |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/215 |
| work_keys_str_mv | AT sabahuddinsaqib disclosingbadnewsofcancerpatientspreferenceforcommunication AT khawajamuhammadinampal disclosingbadnewsofcancerpatientspreferenceforcommunication |