Patient education and counseling
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Cancer patients use complementary and alternative medicine (CAM), but do not routinely talk about it with their clinicians. This study describes CAM discussions in oncology visits, the communication patterns that facilitate these discussions and their association with visit satisfaction. ⋯ CAM discussions are perceived positively by both patients and clinicians and are facilitated by patient-centered visit communication.
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We describe the different ways in which illness represents an existential problem, and its implications for shared decision-making. ⋯ In doing shared decision-making, care is needed to encompass existential aspects; informing and exploring preferences is not enough.