discussions cultivate patients’ accurate prognostic awareness (PA), 20 allowing them to realistically appraise their illness/life expectancy and come to terms with their forthcoming death, thereby increasing the likelihood of issuing a DNR order. 21 , 22
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Evaluating if an Advance Care Planning Intervention Promotes Do-Not-Resuscitate Orders by Facilitating Accurate Prognostic Awareness
Fur-Hsing Wen, Chen Hsiu Chen, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Chia-Hsun Hsieh, and Siew Tzuh Tang
Changes in Prognostic Beliefs of Patients With Metastatic Cancer and Their Association With Changing Health Status
Isabella Gupta, Eric Andrew Finkelstein, Semra Ozdemir, and Chetna Malhotra
, and call into question the framing of accurate belief about disease curability as prognostic awareness. 44 In addition to its lack of conceptually consistent definition, 3 , 45 the term “prognostic awareness” implies that patients’ responses are a
A Communication Approach for Oncologists: Understanding Patient Coping and Communicating About Bad News, Palliative Care, and Hospice
Juliet Jacobsen and Vicki A. Jackson
. 7 Fried TR Bradley EH O’Leary J . Changes in prognostic awareness among seriously ill older persons and their caregivers . J Palliat Med 2006 ; 9 : 61 – 69 . 8 Wenrich MD Curtis JR Shannon SE . Communicating with dying patients
Randomized Trial of a Palliative Care Intervention to Improve End-of-Life Care Discussions in Patients With Metastatic Breast Cancer
Joseph A. Greer, Beverly Moy, Areej El-Jawahri, Vicki A. Jackson, Mihir Kamdar, Juliet Jacobsen, Charlotta Lindvall, Jennifer A. Shin, Simone Rinaldi, Heather A. Carlson, Angela Sousa, Emily R. Gallagher, Zhigang Li, Samantha Moran, Magaret Ruddy, Maya V. Anand, Julia E. Carp, and Jennifer S. Temel
randomization, participants completed a sociodemographic questionnaire and the following assessments. These measures were repeated at weeks 6, 12, 18, and 24 postbaseline. EoL Care Discussions and Prognostic Awareness We administered items used in our prior
Relationship Between Perceptions of Treatment Goals and Psychological Distress in Patients With Advanced Cancer
Areej El-Jawahri, Deborah Forst, Alyssa Fenech, Keri O. Brenner, Amanda L. Jankowski, Lauren Waldman, Isabella Sereno, Ryan Nipp, Joseph A. Greer, Lara Traeger, Vicki Jackson, and Jennifer Temel
role of cognitive dissonance in affecting patients’ survey responses. Future work is critically needed to develop a more sophisticated and valid tool to measure illness and prognostic awareness in oncology that considers both the cognitive and the
NCCN Guidelines® Insights: Palliative Care, Version 2.2021
Featured Updates to the NCCN Guidelines
Maria Dans, Jean S. Kutner, Rajiv Agarwal, Justin N. Baker, Jessica R. Bauman, Anna C. Beck, Toby C. Campbell, Elise C. Carey, Amy A. Case, Shalini Dalal, Danielle J. Doberman, Andrew S. Epstein, Leslie Fecher, Joshua Jones, Jennifer Kapo, Richard T. Lee, Elizabeth T. Loggers, Susan McCammon, William Mitchell, Adeboye B. Ogunseitan, Diane G. Portman, Kavitha Ramchandran, Linda Sutton, Jennifer Temel, Melissa L. Teply, Stephanie Y. Terauchi, Jane Thomas, Anne M. Walling, Finly Zachariah, Mary Anne Bergman, Ndiya Ogba, and Mallory Campbell
strategies had fewer depressive symptoms than those not engaged in coping strategies. 14 The panel recommends encouraging adaptive coping methods for patients, family, and caregivers, particularly when cultivating prognostic awareness to help improve
NCCN Guidelines Insights: Palliative Care, Version 2.2017
Maria Dans, Thomas Smith, Anthony Back, Justin N. Baker, Jessica R. Bauman, Anna C. Beck, Susan Block, Toby Campbell, Amy A. Case, Shalini Dalal, Howard Edwards, Thomas R. Fitch, Jennifer Kapo, Jean S. Kutner, Elizabeth Kvale, Charles Miller, Sumathi Misra, William Mitchell, Diane G. Portman, David Spiegel, Linda Sutton, Eytan Szmuilowicz, Jennifer Temel, Roma Tickoo, Susan G. Urba, Elizabeth Weinstein, Finly Zachariah, Mary Anne Bergman, and Jillian L. Scavone
. NCCN Recommendations Preparing Patients and Families for EOL and Transition to Hospice Care For patients with an estimated life expectancy of years or years to months (see PAL-27; page 991), providers should assess prognostic awareness and
The Integration of Early Palliative Care With Oncology Care: The Time Has Come for a New Tradition
Jessica R. Bauman and Jennifer S. Temel
patients’ illness. Outcome measures included QOL, mood, prognostic awareness, and health service use. Zimmermann et al 23 conducted the most recent randomized study of a comanagement outpatient PC model. Unlike the Temel et al 22 study, this trial
Associations Between Surrogates’ Decisional Regret Trajectories and Bereavement Outcomes
Fur-Hsing Wen, Chia-Hsun Hsieh, Wen-Chi Shen, Ming-Mo Hou, Po-Jung Su, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, and Siew Tzuh Tang
]) and decision conflict; time-variant preloss variables of prognostic awareness (yes vs no), subjective caregiving burden, depressive symptoms, and HRQoL; and time-variant postloss perceived social support. Also controlled as covariates were patients
Barriers to Optimal End-of-Life Care for Adolescents and Young Adults With Cancer: Bereaved Caregiver Perspectives
Jennifer W. Mack, Erin R. Currie, Vincent Martello, Jordan Gittzus, Asisa Isack, Lauren Fisher, Lisa C. Lindley, Stephanie Gilbertson-White, Eric Roeland, and Marie Bakitas
with adolescent and young adult patients with cancer: information needs, prognostic awareness, and outcomes of disclosure . J Clin Oncol 2018 ; 36 : 1861 – 1867 . 10.1200/JCO.2018.78.2128 26. Lindley LC , Keim-Malpass J
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