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- Juliet Jacobsen, Jane deLima Thomas, and Vicki A Jackson.
- Massachusetts General Hospital, Boston, Massachusetts 02114, USA. jjacobsen@partners.org
- J Palliat Med. 2013 Jan 1;16(1):91-5.
AbstractCalled in after discussions about prognosis between referring clinicians and patients, palliative care consultants sometimes find that the patient does not seem to understand what the referring clinician believes he or she explained. However, holding a more explicit discussion about prognosis may compromise the palliative care clinician's rapport with both the patient and the referring clinician. We therefore propose a two-part approach to explore apparent prognostic misunderstandings: first, generate a differential diagnosis for why the patient and referring clinician have different reports of what was said, and second, cultivate a partnership with the referring clinician to provide a unified patient care plan.
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