Patient education and counseling
-
Randomized Controlled Trial
Improved patient participation through advance care planning in nursing homes-A cluster randomized clinical trial.
To improve patient participation in advance care planning in nursing homes where most patients have some degree of cognitive impairment. ⋯ Patients with cognitive impairment should be included in advance care planning supported by next of kin. A whole-ward approach may be used to implement advance care planning.
-
Randomized Controlled Trial
How and how much is spirituality discussed in palliative care consultations for advanced cancer patients with and without a question prompt list?
Patients want to discuss spirituality more with their doctors but feel disempowered. Question prompt lists (QPLs) assist conversations. This study assessed the impact of a QPL on spirituality discussions in Palliative Care (PC). ⋯ Doctors caring for patients at the end of life should routinely raise spiritual issues.
-
The aim of this study is to understand how Spanish-speaking patients conceptualize mental health issues. This study uses a linguistic perspective to focus on how 23 Mexican-origin patients and their doctor talk about mental health during psychiatric interviews conducted in Spanish and how they negotiate cultural barriers. ⋯ The main findings have implications for health communication with minority groups such as Spanish-speaking Latinos/as in the United States. Practitioners working with Spanish-speaking patients should be familiar with how Latinos/as conceptualize health and how to avoid or repair confusion caused by cultural barriers.