title: Misunderstandings about prognosis: an approach for palliative care consultants when the patient does not seem to understand what was said.
abstract: Called in after discussions about prognosis between referring clinicians and patients, palliative care consultants sometimes find that the patient does not seem to understand what the referring clinician believes he or she explained. However, holding a more explicit discussion about prognosis may compromise the palliative care clinician's rapport with both the patient and the referring clinician. We therefore propose a two-part approach to explore apparent prognostic misunderstandings: first, generate a differential diagnosis for why the patient and referring clinician have different reports of what was said, and second, cultivate a partnership with the referring clinician to provide a unified patient care plan.
authors.affiliation: Massachusetts General Hospital, Boston, Massachusetts 02114, USA. jjacobsen@partners.org
authors.forename: Juliet
authors.initials: J
authors.lastname: Jacobsen
authors.forename: Jane deLima
authors.initials: Jd
authors.lastname: Thomas
authors.forename: Vicki A
authors.initials: VA
authors.lastname: Jackson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003144:Communication Barriers; D032882:Comprehension; D006801:Humans; D007400:Interprofessional Relations; D008175:Lung Neoplasms / Q000175:diagnosis / Q000628:therapy; D008297:Male; D010166:Palliative Care; D011340:Problem Solving; D011369:Professional-Patient Relations; D011379:Prognosis; D012017:Referral and Consultation; D019452:Terminally Ill / Q000523:psychology