The doctors lack ‘End of discussion note the quality of life

The study results were presented at the 2011 ATS International Conference in Denver.Although previous studies have shown that patients and healthcare systems benefit when clinicians engage in end of life conversations with patients diagnosed with life limiting illnesses, current research suggests that doctors often choose to focus on the preservation of life and avoid conversations preferences of patients for the treatment of end of life, said study author Lynn F. Reinke, PhD, ARNP, assistant professor of research at the VA Health Care System Puget Sound in Seattle.

“In this study, doctors contracted the end of every seven of life’s problems with their patients, with four items are rarely discussed and three other points discussed a couple of times,” he said: “Our results confirm previous research that medical sub-address end of life issues that are important to patients. ”

Doctors are always short of discussing end of life care to patients with chronic obstructive pulmonary disease (COPD), according to a study conducted by researchers at Washington. The study focused on the communication skills of medical staff, medical students and advanced practice nurses.

There was no association between the characteristics of physicians who were measured, and if not dealt with end of life issues.

“It may be difficult for physicians to discuss end of life issues, but our study and previous studies confirm that the majority of patients with COPD want to have these conversations,” said Dr. Reinke. “The development of an intervention that focuses on these sensitive and specific, when to address these issues with patients can improve patient satisfaction with medical care.

Dr. Reinke said he hopes that these results will be used to help develop and test practical skills to help clinicians effectively treat patients about end of life as an outpatient.

The researchers found seven of the end of life issues have been under-treated and of these, four have not been discussed 77 percent to 94 percent of the time, including how long patients can live, this train of death may be, future treatment decisions, patients spiritual beliefs / religion. When these topics were discussed, patients reported higher satisfaction levels for discussions of three of the four elements, while the discussion on what can be the death was classified as poor in the fair.

“We were interested in end of life issues that were addressed and were not, and the notes of the patients the quality of communication on these issues,” he said. “We also sought to determine whether features such as training of doctors, practice location, gender and duration of the doctor-patient communication have been associated with end of life issues addressed or not addressed.”

Dr. Reinke said that the purpose of this study was to describe the patient-physician communication practices at the end of life point of view of patients’ considering responses to a questionnaire designed by focusing on the quality of communication.

The researchers examined the responses to the questionnaire of 376 patients diagnosed with severe, stable COPD, who were seen by a total of 92 doctors, 31 health professionals, 33 doctors and 28 nurses, advanced practice trainees. The majority of doctors in general medicine, internal medicine and pulmonary clinics.

“Only one element -” to be involved in decisions about the treatments you want if you are too sick to speak for you “- has been raised several times by doctors who had a relationship with the patient in five years,” Dr..

Reinke said.