Dilemma of Prognosis: Step Two (Professional Track)

STEP TWO: CONVERSATION WITH OTHERS                                               30 min.

ACT AGREEMENTS AND DIALOGUE

Trust the power of collective wisdom as you engage with others‒ using the lessons from the video as a jumping board for sharing.  Focus on the questions that can best support your role and experience as caregiver.

The Art & Science of Prognostication Series
Lesson One: Dilemma of Prognosis

ACT Step Two

1. “[Prognosis] is where soul and science meet. It is fire and flash.” – Soul & Science Lesson

2. “As providers we need to be able to become vulnerable enough to say “You are going to die. The horizon is not going to stretch out before you. It’s going to end.’” – Soul & Science Lesson

3. “. . . literature affirms the possibility that physician honesty, even regarding difficult news, can help patients to feel more hopeful.” – (“Communicating about prognosis: ethical responsibilities of pediatricians and parents” 2014)

4. “Despite being a fundamental and important aspect of medical care, prognosis is virtually absent from medical education, medical texts, medical research, and patient care. The relative absence of prognosis in modern medical thought and practice certainly cannot be explained by an absence of patient need or interest, however. Indeed, when patients are sick, their interest in diagnosis and therapy is often secondary to their interest in prognosis.” - Nicholas Christakis, MD

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