By E. Maex MD, C. De Valck PhD (auth.), Prof. Friedrich Stiefel MD (eds.)
This booklet covers all of the appropriate features of conversation in melanoma care, equivalent to communique in melanoma prevention and genetic counseling, conversation at diversified phases of affliction and verbal exchange with the relations and kids. furthermore, extra basic subject matters are mentioned, resembling the advantages and facts of verbal exchange abilities education and the demanding situations of interdisciplinary and cross-cultural conversation.
Besides worthy info on direct scientific relevance, present theoretical frameworks and study on verbal exchange in oncology are offered. The chapters are written by means of prime figures within the box of psycho-oncology and conversation, who paintings and educate in several ecu countries.
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Prev Med 24:492–497 36. BS, Lynch WD (1993) The effect of physician advice on exercise behavior. Prev Med 22:110–121 37. (1994) Effectiveness of health checks conducted by nurses in primary care: results of the OXCHECK study after one year. Imperial Cancer Research Fund OXCHECK Study Group. BMJ 308:308–312 38. Swinburn BA, Walter LG, Arroll B, Tilyard MW, Russell DG (1998) The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. Am J Public Health 88:288–291 39.
The patient’s delay between the occurrence of the first symptoms and consulting a physician is such an element. The longer the delay, the more likely the patient may have used denial; denial is directly related to psychological vulnerability. As a psychological defence mechanism, denial protects the individual from painful experiences he cannot bear (Weisman 1979). Other important elements concern the current state of the patient. Is he able to function in his professional and private life? Was he disturbed by the situation in a way that hampered his capacities to work or to care for the family?
A multistep process has been proposed (Julian-Reynier et al. 2003), starting with assessment of the counselee’s preconceptions, knowledge, preferences, expectations, anxiety and coping style in order to tailor the risk communication process. The information to be given to the counselee (risk, magnitude, uncertainty, for- 28 S. Dolbeault, C. Flahault, D. Stoppa-Lyonnet, A. Brédart mat) is then selected and ordered so that it can be put in perspective with other disease risks, using several formats.