• J Palliat Med · Mar 2018

    When a Patient Is Reluctant To Talk About It: A Dual Framework To Focus on Living Well and Tolerate the Possibility of Dying.

    • Juliet Jacobsen, Keri Brenner, Joseph A Greer, Michelle Jacobo, Leah Rosenberg, Ryan D Nipp, and Vicki A Jackson.
    • 1 Department of Palliative Care and Geriatrics, Harvard Medical School, Massachusetts General Hospital , Boston, Massachusetts.
    • J Palliat Med. 2018 Mar 1; 21 (3): 322-327.

    AbstractMany patients with serious illness struggle to talk about the possibility of dying; yet basic prognostic awareness is crucial for informed decision making. In this article, we aim to help outpatient clinicians working with seriously ill patients ambivalent, uncomfortable, or fearful of further discussion about the future. We describe a dual framework that focuses on living well while acknowledging the possibility of dying and equips clinicians to help patients hold both possibilities. This dual framework facilitates the developmental process of living as fully as possible while also preparing for the possibility of dying.

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