The Family Conference in Palliative Medicine: A Practical Approach

A family conference (FC) is an opportunity for the family and their physician to share their knowledge and concerns about the physical and psychosocial dimensions of care. Appropriate communication principles and practice are both important for an effective FC. The FCs guided by common sense princip...

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Bibliographic Details
Published in:American journal of hospice & palliative medicine 2014-09, Vol.31 (6), p.678-684
Main Authors: Powazki, Ruth D., Walsh, Declan
Format: Article
Language:English
Subjects:
Caregivers - psychology
Communication
Continuity of Patient Care
Family
Health Knowledge, Attitudes, Practice
Humans
Nursing
Palliative Care - methods
Patient Care Planning
Patient Care Team - organization & administration
Patient Education as Topic - organization & administration
Social Support
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Summary:A family conference (FC) is an opportunity for the family and their physician to share their knowledge and concerns about the physical and psychosocial dimensions of care. Appropriate communication principles and practice are both important for an effective FC. The FCs guided by common sense principles and sound clinical practice (good structure, content, and process) have beneficial outcomes. (1) Creation of a therapeutic partnership so the family and medical team collaborate in the difficult task of sophisticated medical and psychosocial care of a complex illness. (2) Enhanced therapeutic management through education and support of the patient and primary caregiver (and other family members) to facilitate self-efficacy and convey realistic hope with careful sequencing of key messages. (3) Easier patient transitions from cure- to care-oriented management, with a formal (yet thoughtful and gentle) introduction to the principles and practice of modern palliative medicine.
ISSN:1049-9091
1938-2715
DOI:10.1177/1049909113499444