Serious Illness Discussion in Palliative Care-A Case Study Approach in an African American Patient with Cancer

Deborah Russell; Jo Clarke; Lynne Brophy; Michele L Weber

doi:10.1016/j.cnc.2021.11.006

Serious Illness Discussion in Palliative Care-A Case Study Approach in an African American Patient with Cancer

Crit Care Nurs Clin North Am. 2022 Mar;34(1):79-90. doi: 10.1016/j.cnc.2021.11.006. Epub 2022 Jan 21.

Authors

Deborah Russell¹, Jo Clarke², Lynne Brophy³, Michele L Weber⁴

Affiliations

¹ Department of Palliative Medicine, Arthur G. James Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 1581 Dodd Drive, 5th Floor McCampbell Hall, Columbus, OH 43210 USA. Electronic address: Deborah.russell@osumc.edu.
² Department of Internal Medicine, Division of Medical Oncology, Arthur G. James Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 460 West 10th Avenue, Columbus, OH 43210, USA.
³ The Ohio State University Cancer Comprehensive Center and Richard J. Solove Research Institute, The Ohio State University, Stefanie Spielman Comprehensive Breast Center, Administration - Room 2040, 1145, Olentangy River Road, Columbus, OH 43212, USA.
⁴ Arthur G. James Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 460 West 10th Avenue, Columbus, OH 43210, USA.

PMID: 35210027
DOI: 10.1016/j.cnc.2021.11.006

Abstract

Medicare's new focus on end-of-life care has driven nurses and other clinicians to re-examine when advanced care planning should begin, and serious illness discussions should be conducted. This article will address barriers to, cultural influences on, framing of, and documentation of serious illness discussions using a case study approach.

Keywords: Advanced cancer patients; Advanced care planning; African Americans; Documentation; End of life; Goal concordant care; People of color; Serious illness conversations.

Publication types

Review

MeSH terms

Aged
Black or African American
Communication
Humans
Medicare
Neoplasms* / therapy
Palliative Care
Terminal Care*
United States