Using the patient-centered method to achieve excellence in care for women with breast cancer

被引:19
作者
Brown, JB
Stewart, M
McWilliam, CL
机构
[1] Univ Western Ontario, Ctr Studies Family Med, London, ON N6G 4X8, Canada
[2] Univ Western Ontario, Fac Hlth Sci, Sch Nursing, London, ON N6A 5C1, Canada
关键词
patient-centred care; breast cancer;
D O I
10.1016/S0738-3991(99)00059-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The diagnosis of breast cancer remains one of the most threatening and emotionally debilitating diagnoses given to patients. Breast cancer elicits fears of loss of ability, control, hope, and at worst - loss of life. Patients and their families, devastated by the diagnosis of cancer, often feel unsupported or dismissed by their health care providers. Using the example of breast cancer, this paper describes how the application of the patient-centred clinical method can assist physicians in caring for patients diagnosed with breast cancer. Composite cases and quotes drawn from qualitative research studies with boast cancer patients are used to illustrate the application of the patient-centred clinical method. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:121 / 129
页数:9
相关论文
共 30 条
[1]  
BALNEAVES L, 1994, BREAST CANC COMMUNIC
[2]   INFORMATION AND DECISION-MAKING PREFERENCES OF HOSPITALIZED ADULT CANCER-PATIENTS [J].
BLANCHARD, CG ;
LABRECQUE, MS ;
RUCKDESCHEL, JC ;
BLANCHARD, EB .
SOCIAL SCIENCE & MEDICINE, 1988, 27 (11) :1139-1145
[3]  
BOON H, IN PRESS QUALITATIVE
[4]  
CASSILETH BR, 1980, ANN INTERN MED, V92, P64
[5]  
CAWLEY M, 1990, CANCER NURS, V13, P90
[6]   ATTENTIONAL FATIGUE FOLLOWING BREAST-CANCER SURGERY [J].
CIMPRICH, B .
RESEARCH IN NURSING & HEALTH, 1992, 15 (03) :199-207
[7]  
COUZI RJ, 1997, WOMENS HLTH PRIMARY, P683
[8]   Information needs and decisional preferences in women with breast cancer [J].
Degner, LF ;
Kristjanson, LJ ;
Bowman, D ;
Sloan, JA ;
Carriere, KC ;
ONeil, J ;
Bilodeau, B ;
Watson, P ;
Mueller, B .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (18) :1485-1492
[9]   DECISION-MAKING DURING SERIOUS ILLNESS - WHAT ROLE DO PATIENTS REALLY WANT TO PLAY [J].
DEGNER, LF ;
SLOAN, JA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1992, 45 (09) :941-950
[10]   PSYCHOLOGICAL OUTCOMES OF DIFFERENT TREATMENT POLICIES IN WOMEN WITH EARLY BREAST-CANCER OUTSIDE A CLINICAL-TRIAL [J].
FALLOWFIELD, LJ ;
HALL, A ;
MAGUIRE, GP ;
BAUM, M .
BRITISH MEDICAL JOURNAL, 1990, 301 (6752) :575-580