Maynard2015

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Maynard2015
BibType ARTICLE
Key Maynard2015
Author(s) Douglas W. Maynard, Dagoberto Cortez, Toby C. Campbell
Title “End of life” conversations, appreciation sequences, and the interaction order in cancer clinics
Editor(s)
Tag(s) Medical EMCA, Applied, Oncology, Appreciation, Sequence organization, Assessments
Publisher
Year 2015
Language
City
Month
Journal Patient Education and Counseling
Volume 99
Number 1
Pages 92–100
URL Link
DOI 10.1016/j.pec.2015.07.015
ISBN
Organization
Institution
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Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Objective: To address the organization of conversations in oncology visits by taking an “interaction order” perspective and asking how these visits are intrinsically organized.

Methods: Conversation analysis.

Results: Using audio recordings of talk in oncology visits involving patients with non-small cell lung cancer, we identify and analyze an “appreciation sequence” that is designed to elicit patients’ understanding and positive assessment of treatments in terms of their prolongation of life.

Conclusion: An “appreciation sequence,” regularly initiated after the delivery of scan results and/or treatment recommendations, simultaneously reminds patients of their mortality while suggesting that the treatment received has prolonged their lives, and in some cases significantly beyond the median time of survival.

Practice implications: We explore the functions of the appreciation sequence for cancer care and set the stage for considering where and when physicians have choices about the order and direction the talk can take and how to allocate time for end of life and quality of life conversations.

Notes