Communication Challenges

Should informed consent mean the patient understands?

January 30, 2012

The patient understood that surgery was the best next step in her treatment. Or, did she?
 

Work-around: An indirect way to accomplish the same goal

December 19, 2011

Interpersonal relations are comparable to navigating computer software. A change in approach may produce the desired results.
 

Wait, wait, don't tell me

October 19, 2011

The wait for test results and treatment outcomes meets the criteria for a traumatic event. How do you handle a response that seems out of character?
 

Ears like a wolf ...when perspective clouds judgment

August 01, 2011

The patient's constant complaining and irritating personality almost overwhelmed his need for care.
 

Déjà vu: How I remember to listen

May 19, 2011

The patient's daughter had been through the discharge process before. But she struggled with accepting her recurrent feelings. The nurse did, too.
 

The Family Meeting: Meeting the family where they are

March 17, 2011

Sometimes, despite our best efforts, we cannot convince the patient's family that the time for hope is gone.
 

Use evidence-based practice to make your argument

January 19, 2011

The goal was to make the case for better pain management without undermining the care team.
 

Pain: For the patient, it's more than just another four-letter word

November 02, 2010

Assessment of pain involves more than asking patients to rate their level of pain, yet often we act as if that is all that is necessary.
 

Debriefing: How we process our experiences with patients

August 31, 2010

In a case like Susie's, nurses wonder if there was a way to change not the outcome, but the way she died.
 

Backstory: What I didn't know

August 01, 2010

For the author, the life stories of patients are more like mysteries than anything. Sometimes the story she thought she knew turns out to be wrong.
 

Two vital resources for melanoma management


Two myCME Webcasts, Management of Metastatic Melanoma and Management of Early Melanoma and Atypical Spitz Tumors, provide health care professionals with current and relevant research, treatment options, clinical data, guidance, and resources to optimize melanoma detection, management, patient care, and outcomes. Each Webcast offers 1.0 AMA PRA Category 1 CreditTM.

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Web Exclusives

Psychosocial approach useful in managing cancer pain

February 03, 2012

Psychosocial interventions, including skills instruction and education, can help reduce pain in persons with cancer, confirm the results of a recent meta-analysis.
 

Experimental agent slows progression of colorectal cancer

February 02, 2012

The investigational drug regorafenib conferred a statistically significant survival benefit in patients with metastatic colorectal cancer in whom no standard therapy was effective.
 

In HER2 breast cancer, lapatinib works better with trastuzumab than without

February 01, 2012

Lapatinib is not as effective as trastuzumab against (HER2)-positive breast cancer, but combining the two nearly doubles the effectiveness seen with either one alone.
 

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