- Foreword
- Preface
- Abbreviations
- Contributors
- Section A Introduction to communication studies in cancer and palliative medicine
- Chapter 1 The history of communication skills knowledge and training
- Chapter 2 Journeys to the centre of empathy
- Chapter 3 Models of communication skills training and their practical implications
- Chapter 4 Shared decision-making, decision aids, and the role of values in treatment decision-making
- Chapter 5 The ethics of communication in cancer and palliative care
- Chapter 6 Gender, power, and non-verbal communication
- Chapter 7 Medical student training in communication skills
- Chapter 8 Training patients to reach their communication goals
- Chapter 9 Cancer patients’ use of the internet for cancer information and support
- Chapter 10 Audio-recording cancer consultations for patients and their families—putting evidence into practice
- Chapter 11 Learner-centred communication training
- Section B A core curriculum for communication skills training for oncology and palliative care
- Chapter 12 Breaking bad news
- Chapter 13 Discussing prognosis and communicating risk
- Chapter 14 Achieving shared treatment decisions
- Chapter 15 Responding to difficult emotions
- Chapter 16 Denial and communication
- Chapter 17 Communicating with relatives in cancer care
- Chapter 18 Conducting a family meeting
- Chapter 19 Communication about coping as a survivor
- Chapter 20 Dealing with cancer recurrence
- Chapter 21 Introducing or transitioning patients to palliative care
- Chapter 22 Talking about dying
- Section C Nursing
- Chapter 23 Communication skills education and training in pre-registration BSc Nursing
- Chapter 24 SAGE & THYME
- Chapter 25 The implementation of advanced communication skills training for senior healthcare professionals in Northern Ireland
- Chapter 26 Training facilitators to deliver an advanced communication course for senior healthcare professionals in cancer and palliative care
- Chapter 27 Communication in the context of cancer as a chronic disease
- Chapter 28 Advancing family communication skills in oncology nursing
- Chapter 29 Ambulatory care nurses responding to depression
- Chapter 30 Communication in the last days or hours of life
- Chapter 31 E-learning as a medium for communication skills training
- Section D A specialty curriculum for oncology
- Chapter 32 Enrolment in clinical trials
- Chapter 33 Working as a multidisciplinary team
- Chapter 34 Communicating genetic risk
- Chapter 35 Supporting patients considering reconstructive surgery
- Chapter 36 Discussing unproven therapies
- Chapter 37 Promoting treatment adherence
- Chapter 38 Communication strategies and skills for optimum pain control
- Chapter 39 Discussing adverse outcomes with patients
- Chapter 40 A health equity care model for improving communication and patient-centred care
- Chapter 41 Challenges in communicating with ethnically diverse populations
- Chapter 42 Communication and cancer-related infertility
- Chapter 43 Communicating about sexuality in cancer care
- Section E Communication issues across the disciplines
- Chapter 44 Screening for distress
- Chapter 45 Social work support in settings of crisis
- Chapter 46 Communication in cancer radiology
- Chapter 47 Communication in surgical oncology
- Chapter 48 Communication in non-surgical oncology
- Chapter 49 Palliative medicine
- Chapter 50 Communication issues in pastoral care and chaplaincy
- Chapter 51 Communication in oncology pharmacy
- Chapter 52 Communication challenges with the elderly
- Chapter 53 Communicating with children when a parent is dying
- Section F Education and international initiatives in communication training
- Chapter 54 Facilitating communication role play sessions
- Chapter 55 The role of the actor in medical education
- Chapter 56 The Oncotalk/Vitaltalk model
- Chapter 57 The Swiss model
- Chapter 58 The United Kingdom general practitioner and palliative care model
- Chapter 59 The Belgian experience in communication skills training
- Chapter 60 Communication in cancer care in Europe and EU policy initiatives
- Chapter 61 Communication skills training in Arab countries
- Section G Research in cancer communication
- Chapter 62 Evaluating communication skills training courses
- Chapter 63 Qualitative approaches to clinician–patient communication
- Chapter 64 Issues in coding cancer consultations
- Chapter 65 The Roter Interaction Analysis System
- Index
(p. 126) Dealing with cancer recurrence
- Chapter:
- (p. 126) Dealing with cancer recurrence
- Author(s):
Lidia Schapira
and Lauren Goldstein
- DOI:
- 10.1093/med/9780198736134.003.0020
When patients conclude active cancer therapy, many experience an elevated degree of awareness and worry about disease recurrence. For most patients, this anxiety is intermittent and tolerable, but for others, it is quite disruptive. Patients’ psychological and cognitive difficulties are not systematically explored during routine medical visits. Receiving the news of cancer recurrence is enormously difficult and so is the disclosure of news for the oncologist. The chapter provides practical tips for disclosing prognostic information. Physicians can and should pay particular attention to patients’ overall quality of life, rather than focusing solely on the medical reality, and strive to balance their own communicative preferences and strategies with the needs of their patients, tailoring their process of disclosing news of recurrence to patients’ expressed preferences in order to facilitate coping and sustain the therapeutic alliance.
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- Foreword
- Preface
- Abbreviations
- Contributors
- Section A Introduction to communication studies in cancer and palliative medicine
- Chapter 1 The history of communication skills knowledge and training
- Chapter 2 Journeys to the centre of empathy
- Chapter 3 Models of communication skills training and their practical implications
- Chapter 4 Shared decision-making, decision aids, and the role of values in treatment decision-making
- Chapter 5 The ethics of communication in cancer and palliative care
- Chapter 6 Gender, power, and non-verbal communication
- Chapter 7 Medical student training in communication skills
- Chapter 8 Training patients to reach their communication goals
- Chapter 9 Cancer patients’ use of the internet for cancer information and support
- Chapter 10 Audio-recording cancer consultations for patients and their families—putting evidence into practice
- Chapter 11 Learner-centred communication training
- Section B A core curriculum for communication skills training for oncology and palliative care
- Chapter 12 Breaking bad news
- Chapter 13 Discussing prognosis and communicating risk
- Chapter 14 Achieving shared treatment decisions
- Chapter 15 Responding to difficult emotions
- Chapter 16 Denial and communication
- Chapter 17 Communicating with relatives in cancer care
- Chapter 18 Conducting a family meeting
- Chapter 19 Communication about coping as a survivor
- Chapter 20 Dealing with cancer recurrence
- Chapter 21 Introducing or transitioning patients to palliative care
- Chapter 22 Talking about dying
- Section C Nursing
- Chapter 23 Communication skills education and training in pre-registration BSc Nursing
- Chapter 24 SAGE & THYME
- Chapter 25 The implementation of advanced communication skills training for senior healthcare professionals in Northern Ireland
- Chapter 26 Training facilitators to deliver an advanced communication course for senior healthcare professionals in cancer and palliative care
- Chapter 27 Communication in the context of cancer as a chronic disease
- Chapter 28 Advancing family communication skills in oncology nursing
- Chapter 29 Ambulatory care nurses responding to depression
- Chapter 30 Communication in the last days or hours of life
- Chapter 31 E-learning as a medium for communication skills training
- Section D A specialty curriculum for oncology
- Chapter 32 Enrolment in clinical trials
- Chapter 33 Working as a multidisciplinary team
- Chapter 34 Communicating genetic risk
- Chapter 35 Supporting patients considering reconstructive surgery
- Chapter 36 Discussing unproven therapies
- Chapter 37 Promoting treatment adherence
- Chapter 38 Communication strategies and skills for optimum pain control
- Chapter 39 Discussing adverse outcomes with patients
- Chapter 40 A health equity care model for improving communication and patient-centred care
- Chapter 41 Challenges in communicating with ethnically diverse populations
- Chapter 42 Communication and cancer-related infertility
- Chapter 43 Communicating about sexuality in cancer care
- Section E Communication issues across the disciplines
- Chapter 44 Screening for distress
- Chapter 45 Social work support in settings of crisis
- Chapter 46 Communication in cancer radiology
- Chapter 47 Communication in surgical oncology
- Chapter 48 Communication in non-surgical oncology
- Chapter 49 Palliative medicine
- Chapter 50 Communication issues in pastoral care and chaplaincy
- Chapter 51 Communication in oncology pharmacy
- Chapter 52 Communication challenges with the elderly
- Chapter 53 Communicating with children when a parent is dying
- Section F Education and international initiatives in communication training
- Chapter 54 Facilitating communication role play sessions
- Chapter 55 The role of the actor in medical education
- Chapter 56 The Oncotalk/Vitaltalk model
- Chapter 57 The Swiss model
- Chapter 58 The United Kingdom general practitioner and palliative care model
- Chapter 59 The Belgian experience in communication skills training
- Chapter 60 Communication in cancer care in Europe and EU policy initiatives
- Chapter 61 Communication skills training in Arab countries
- Section G Research in cancer communication
- Chapter 62 Evaluating communication skills training courses
- Chapter 63 Qualitative approaches to clinician–patient communication
- Chapter 64 Issues in coding cancer consultations
- Chapter 65 The Roter Interaction Analysis System
- Index