• J Palliat Med · Feb 2022

    Case Reports

    Referral Relationship: Illuminating the Ways Palliative Care Creates a Holding Environment for Referring Clinicians.

    • Keri O Brenner, Jessica Logeman, Leah B Rosenberg, Daniel Shalev, Vicki A Jackson, Michelle Seaton, Juliet C Jacobsen, and Linda L Emanuel.
    • Department of Medicine, Section of Palliative Care, Stanford University School of Medicine, Stanford, California, USA.
    • J Palliat Med. 2022 Feb 1; 25 (2): 185-192.

    AbstractPalliative care supports referring colleagues in multiples ways. This support to referring colleagues is not often explored in the literature, yet the psychological concept that best describes it is the holding environment. The holding environment is the relational space palliative care offers referring clinicians for processing emotions and information. Using the case of Gloria, a patient living with cancer, this article discusses ways palliative care creates a holding environment for her referring oncologist, Dr. Ko. As palliative care clinicians, we create this relational space for referring clinicians when we change the dynamic, accompany the clinician, recognize challenges, establish expectations, and share a clinical second look. This article is the sixth in a series exploring the psychological elements of palliative care.

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