Results of Poor Communication in Cancer

Unless a doctor can find some way of understanding how a patient integrates and then interprets the often quite complex biomedical information into his everyday world and experiences, the dialogue between them largely proceeds as two parallel and separate monologues. The specifics and detail in explanations about diagnostic tests and management plans and an affective appreciation for the life context within which the patient places these, are necessary prerequisites for successful and effective...

For Smokers Unwilling to Quit

Intervention efforts will not be successful without sufficient motivation or readiness to quit smoking on the part of the smoker. For the patient who is presently unwilling to quit smoking, recommending entering a smoking cessation programme may be premature and ineffective. The US practice guidelines suggest following the 5 R's motivational intervention as listed in Table 2 15 . The 5 R's for enhancing motiva- Table 2 Recommendations to enhance motivation to quit tobacco the 5 R's (from 2 )...