{"id":9805,"date":"2022-06-17T06:27:10","date_gmt":"2022-06-17T06:27:10","guid":{"rendered":"https:\/\/www.booksofall.com\/id\/?post_type=product&#038;p=9805"},"modified":"2022-06-17T06:27:28","modified_gmt":"2022-06-17T06:27:28","slug":"how-can-doctors-find-better-ways-to-talk-and-listen-to-patients-close-to-death","status":"publish","type":"product","link":"https:\/\/www.booksofall.com\/id\/how-can-doctors-find-better-ways-to-talk-and-listen-to-patients-close-to-death\/","title":{"rendered":"How can doctors find better ways to talk \u2013 and listen \u2013 to patients close to death?"},"content":{"rendered":"<h4 id=\"standfirst\" class=\"article__standfirst\">Two brothers are combining palliative care expertise, linguistics and AI to encourage more effective conversations between doctors and people receiving end-of-life care.<\/h4>\n<aside class=\"article__aside\">\n<div class=\"article__aside__section article__share-buttons\" role=\"group\">\n<div class=\"paragraph paragraph--text\">\n<p>One afternoon in the summer of 2018, Bob Gramling dropped by the small suite that serves as his lab in the basement of the University of Vermont\u2019s medical school. There, in a grey lounge chair, an undergrad research assistant named Brigitte Durieux was doing her summer job, earphones plugged into a laptop. Everything normal, thought Bob.<\/p>\n<p>Then he saw her tears.<\/p>\n<p>Bob doesn\u2019t balk at tears. As a palliative care doctor, he has been at thousands of bedsides and had thousands of conversations, often wrenchingly difficult ones, about dying. But in 2007, when his father was dying of Alzheimer\u2019s, Bob was struck by his own sensitivity to every word choice of the doctors and nurses, even though he was medically trained.<\/p>\n<\/div>\n<div class=\"paragraph paragraph--text\">\n<p>\u201cIf we [doctors] are feeling that vulnerable, and we theoretically have access to all the information we would want, it was a reminder to me of how vulnerable people without those types of resources are,\u201d he says.<\/p>\n<p>He began to do research into how dying patients, family members and doctors talk in these moments about end of treatment, pain management and imminent death. Six years later, he received over $1 million from the American Cancer Society to undertake what became the most extensive study of palliative care conversations in the US.<\/p>\n<p>The resulting database contains over 12,000 minutes and 1.2 million words of conversation involving 231 patients. This is the basis of the Vermont Conversation Lab, which Bob created to analyse this data and find features of those conversations that make patients and family members feel heard and understood.<\/p>\n<h4>Reference:<\/h4>\n<ul>\n<li>A description of the\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4544824\/\">study that gathered the data<\/a>\u00a0used by the\u00a0<a href=\"http:\/\/www.med.uvm.edu\/vermontconversationlab\/home\">Vermont Conversation Lab<\/a>.<\/li>\n<li>A paper published by Bob Gramling and colleagues on analysing\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6100772\/\">\u201celoquent silences\u201d<\/a>, including some of the conversations used in this story.<\/li>\n<li>Two reports on end-of-life care:\u00a0<a href=\"http:\/\/www.nationalacademies.org\/hmd\/Reports\/2014\/Dying-In-America-Improving-Quality-and-Honoring-Individual-Preferences-Near-the-End-of-Life.aspx\">Dying in America<\/a>\u00a0and\u00a0<a href=\"http:\/\/endoflifecareambitions.org.uk\/\">Ambitions for Palliative and End of Life Care<\/a>\u00a0in the UK.<\/li>\n<li>Research from 1998 examining\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10343673\">communication impairment in hospice patients<\/a>.<\/li>\n<li>From a national survey of hospice and palliative care providers in the US,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27046300\">results relating to hearing loss<\/a>.<\/li>\n<li>Information about\u00a0<a href=\"http:\/\/www.dfhcc.harvard.edu\/insider\/member-detail\/member\/james-a-tulsky-md\/\">James Tulsky\u2019s research<\/a>\u00a0at Dana-Farber Cancer Institute.<\/li>\n<li>A paper by Panayiotis Georgiou and colleagues on predicting couple therapy outcomes based on\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5608311\/\">acoustic features of conversations<\/a>.<\/li>\n<li>Age UK has information about\u00a0<a href=\"https:\/\/www.ageuk.org.uk\/information-advice\/health-wellbeing\/relationships-family\/end-of-life-issues\/\">end-of-life issues<\/a>\u00a0and finding support.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/aside>\n","protected":false},"excerpt":{"rendered":"<p><iframe style=\"width: 100%; height: 750px; border: none;\" src=\"https:\/\/online.visual-paradigm.com\/share\/book\/why-is-it-so-hard-to-stop-people-dying-from-snakebite-znzbenphh?enforceShowPromotionBar=true\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n","protected":false},"featured_media":9811,"template":"","meta":{"_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"Create UML diagrams online. See how to create a region inside a UML state shape, using Visual Paradigm's online UML diagram tool."},"product_brand":[],"product_cat":[15,219],"product_tag":[],"class_list":{"0":"post-9805","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-all","7":"product_cat-biology","9":"first","10":"instock","11":"shipping-taxable","12":"product-type-simple"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How can doctors find better ways to talk \u2013 and listen \u2013 to patients close to death? - BooksOfAll Indonesian<\/title>\n<meta name=\"description\" content=\"Create UML diagrams online. 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