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Author McClain, Gary R.

Title After the diagnosis : how patients react and how to help them cope / Gary McClain ; with Michelle Buchman.

Imprint Clifton Park, N.Y. : Delmar, c2011.


Location Call No. OPAC Message Status
 Axe 2nd Floor Stacks  610.696 M132a 2011    ---  Available
Description xix, 360 p. : ill. ; 28 cm.
Bibliography Includes bibliographical references (p. 349-350) and index.
Contents Preface -- Acknowledgments -- About the authors -- Starting The Conversation About A Medical Diagnosis: -- Understanding the patient's mindset -- Identifying other factors affecting readiness to hear a diagnosis -- Diagnosing denial -- Defining superstitious thinking -- Working through prebargaining -- Giving a diagnosis -- Cultivating emotional openness -- Reviewing reason for referral -- Gaining a basic understanding of diagnostic procedures -- Discussing the diagnosis -- Presenting the treatment plan -- Discussing emotional reactions to a diagnosis -- Embracing empathy and opportunity -- Taking next steps -- Discussing a recent diagnosis -- Preparing to deliver a patient diagnosis -- Guidelines for discussing a diagnosis with a patient -- Picking up the pieces after the straight talk -- Recognizing Initial Coping Styles: -- Identifying the first reaction: no or numb reaction -- Recovering from the initial shock -- Responding with flight: charging forward blindly -- Freezing: failing to react -- Fighting back: balancing emotion and logic -- Recognizing patient reactions -- Working with patients in flight reaction -- Keys to communicating with patients in flight reaction -- Working with patients in freeze reaction -- Keys to communicating with patients in freeze reaction -- Working with patients in flight reaction -- Keys to communicating with patients in flight reaction -- Introducing body language -- Acknowledging Emotional Reactions: -- Defining the role of emotions -- Supporting patients who ask, "why me?" -- Identifying the emotions of newly diagnosed patients -- Exploring fear: Yolanda's story -- Tapping into anger: Mark's story -- Learning about sadness: Leah's story -- Understanding shame: Mario's story -- Admitting to relief: Iana's story -- Relating flight, freeze, and fight with emotions -- Working with patients in flight reaction -- Understanding patients in freeze reaction -- Discussing patients in fight reaction -- Introducing "educational moments" -- Explaining how medical diagnoses challenge life beliefs -- Conducting healthy grieving -- Helping patients talk about feelings -- Assessing depression -- Understanding depression in health care -- Identifying the signs of depression -- Studying the influence of culture and gender -- Making referrals for mental-health treatment -- Acknowledging And Confronting The Fear Factor: -- Asking "what if?" to open the door to fear -- Accepting mortality -- Protecting relationships -- Safeguarding finances -- Losing traditional roles -- Changing routines -- Facing overarching fears: uncertainty and change -- Approaching patients overwhelmed by fear -- Understanding the fear condition -- Making treatment decisions -- Instituting lifestyle changes -- Knowing when fear leads to helplessness -- Appreciating the upside of fear -- Using techniques for coping with fear's emotional effects -- Engaging the patient's rational side -- Working directly with the patient's emotions -- Facing fear with "what if?" -- Guidelines for addressing fear and the "what if?" question -- Outlining the role of superstitions thinking -- Emotions And Health-Care Decision Making: -- Identifying the facets of decision making -- Taking the emotional perspective -- Adopting the cognitive perspective -- Melding the motional and cognitive perspectives -- Assessing when patients are ready to make decisions -- Expressing emotions directly -- Failing to emote -- Having questions-or not -- Supporting patients who overestimate their readiness -- Feeling a sense of urgency -- Overloading on information -- Pleasing the health-care professional -- Resolving discomfort -- Facilitating the medical decision-making process -- Reaching the overarching goal: trust -- Building a decision-making toolkit for health-care professionals -- Listening and being supportive -- Educating the patient -- Promoting teamwork -- Encouraging self-efficacy -- Being sensitive to the readiness factor -- Aiding health-care professionals who feel helpless -- Getting family members involved in decision making -- Guidelines for coming to a treatment decision -- Helping Newly Diagnosed Patients Communicate With Health-Care Professionals: -- Starting to help patients express their needs and concerns -- Creating rapport -- Conducting an open dialogue -- Establishing boundaries -- Seeing how newly diagnosed patients experience health care -- Using common language -- Sharing power in health-care relationships -- Avoiding offensive behavior -- Navigating information sharing -- Managing patients' self-perceptions -- Reading cues properly -- Serving patients appropriately -- Being sensitive to helplessness -- Handling problems between physician and patient -- Ensuring listening occurs -- Channeling negative emotions -- Working through disagreements -- Communicating with newly diagnosed patients about compliance -- Demonstrating caring -- Working toward comprehension -- Establishing roles -- Guidelines for enhancing professional health-care communication -- Encouraging Patients To Gather Information: -- Identifying barriers to information-gathering -- Addressing information avoidance -- Working counter to fatalism -- Taking positivity to the extreme -- Forcing recognition of reality -- Keeping information attainable -- Recognizing other factors in information-gathering -- Harnessing the fight reaction -- Appreciating gender differences -- Assessing the impact of age -- Considering cultural differences -- Accommodating education and socioeconomic status -- Facilitating the "knowledge is power" mentality -- Helping patients overcome information avoidance -- Making relevant and appropriate resource recommendations -- Encouraging reading and comprehension -- Capitalizing on educational moments -- Highlighting key areas of information -- Researching conditions and their treatments -- Promoting health and wellness -- Cultivating patient support -- Differentiating men's and women's health -- Apprising mental health -- Conducting information-gathering despite challenges -- Addressing contradictions -- Harnessing information-inspired fear -- Knowing when information-gathering is excessive -- Getting caregivers involved in information-gathering -- Keeping family participation equitable -- Giving patients leeway -- Guidelines for introducing patients to information-gathering --
Developing A Support Plan With Patients: -- Identifying patients' support needs -- Exploring psychosocial support -- Defining activities of daily living -- Inspiring lifestyle changes -- Maintaining ongoing compliance -- Keeping patients informed -- Staying connected with the health-care team -- Overcoming barriers to support acceptance -- Exploring denial: Sherry's story -- Working with lack of information: LaToya's story -- Fearing lack of financial resources: Tyler's story -- Wanting to avoid being a burden: Vivian's story -- Expressing the desire to be (too) independent: Dave's story -- Accommodating patients who want unneeded support -- Identifying other emotions at work -- Encouraging self-efficacy -- Assessing patient openness to support -- Meeting patient potential -- Defining the role of self-talk -- Locating resources for key support areas -- Tapping into hospital and clinic resources -- Harnessing the internet -- Working with community organizations -- Levering support groups -- Brainstorming with patients -- Making support recommendations cautiously -- Initiating collaboration on the support plan -- Being aware of personal body language -- Reassuring patients of control -- Positioning assistance appropriately -- Starting with lists -- Making suggestions but allowing choices -- Getting families involved in support -- Guidelines for conducting support discussions -- Coping With Effects On Self-Image: -- Understanding how medical diagnoses affect self-image -- Appreciating the importance of physical appearance -- Getting a sense of abilities and talents -- Preserving the value of relationships -- Making the most of personality -- Defining the role of self-esteem -- Feeling special, feeling normal -- Knowing what to do when self-image is at risk -- Being alert for educational moments -- Learning about body image: Tony's story -- Feeling helpless: Denise's story -- Accepting changes in personality: Sean's story -- Guidelines for encouraging positive self-image -- Connecting With A Sense Of Meaning: -- Being aware of personal spirituality -- Assessing the spiritual impact of a medical diagnosis -- Considering the meaning of life: Paula's story -- Experiencing life in the here and now: Nathan's story -- Feeling a sense of peace: Emily's story -- Asking "why me?": Pedro's story -- Feeling a sense of urgency: Julia's story -- Withdrawing into contemplation: Lucia's story -- Reconnecting with childhood religious practices: Saul's story -- Being encouraged to embrace a spiritual being: Graces' story -- Connecting spirituality to the patient-professional relationship -- Listing the benefits of spirituality for newly diagnosed patients -- Link health-care professionals and spirituality -- Reacting to issues with spiritual dimensions -- Accepting the urge to avoid -- Avoiding ethical concerns -- Discounting spirituality -- Providing a listening ear -- Understanding how patients experience spirituality -- Appreciating worship -- Getting inspiration -- Interacting socially -- Giving back -- Reducing stress -- Being active -- Recognizing when despair leads to depression -- Guidelines for assisting newly diagnosed patients from a spiritual perspective -- Communicating With Family Members And Caregivers: -- Asking the question "why us?" -- Understanding family members' initial reactions to diagnoses -- Assessing the flight reaction in family members -- Studying family members' freeze reactions -- Evaluating family member who respond as fighters -- Identifying the emotions family members experience -- Starting with fear -- Delving into anger -- Making time for sadness -- Being able to express relief -- Dealing with guilt, shame, and blame -- Researching common caregiver-patient communication issues -- Choosing to ignore -- Trying to make everything better -- Staying positive -- Misusing empowerment -- Encouraging patient-family communication via the health-care team -- Prompting families to accept their own emotions -- Fostering self-care -- Delivering a message of compassion -- Supporting information-gathering and check-ins -- Distinguishing patients from their medical conditions -- Exercising caution through ethics and boundaries -- Staying focused on professional responsibilities -- Knowing organizational guidelines -- Recognizing when to use outside resources -- Identifying when personal buttons are being pushed -- Staying neutral -- Guidelines for conversing with family members -- Creating A Vision For The Future: -- Melding a medical diagnosis with a vision for the future -- Working with hopes, dreams, and assumptions -- Weathering a crisis of meaning with practical questions -- Focusing on the "nuts and bolts" of the future -- Helping patients cope with uncertainty about the future -- Confronting the fear factor: Jayden's story -- Identifying the effects of hopelessness: Isabella's story -- Explaining the effect of either-or thinking: Barbara's story -- Emphasizing the importance of accurate information: Adam's story -- Recognizing the value of support: Eden's story -- Introducing role models: Enzo's -- Referring to outside resources: Bree's story -- Guidelines for talking about the future -- When Diagnoses Involve The End Of Life: -- Facing the end of life as health-care professionals -- Defining personal beliefs about death -- Assessing personal comfort with death -- Working within appropriate boundaries -- Becoming familiar with organizational polices -- Understanding how patients cope with terminal diagnoses -- Battling disbelief: Lara's story -- Facing fear: Fleix's story -- Feeling urgency: Katie's story -- Worrying about others: Gabriel's story -- Sensing the end: Janis's story -- Being present with patients -- Helping families through patients' end of life -- Identifying referral options for end-of-life care -- Accessing mental-health counseling -- Seeking spiritual counseling -- Attending self-help groups -- Searching published resources -- Exploring medical options -- Guidelines for having conversations to introduce end-of-life issues -- Recognizing Personal Emotions As Health-Care Professionals: -- Providing self-care for health-care professionals -- Recognizing the symptoms of stress and compassion fatigue -- Knowing personal strengths and limits -- Maintaining objectivity -- Setting boundaries with patients -- Following the guidelines for a healthy life -- Recognizing personal contributions -- Finding a safe place to express feelings -- Guidelines for having a conversation about compassion fatigue -- Glossary -- Appendix A: Resources -- Appendix B: References -- Index.
Summary Synopsis: Provides readers with practical, realistic guidelines that help patients harness both emotional and rational strengths as they communicate with healthcare professionals, gather information, evaluate treatment options, make informed treatment decisions, and manage their condition. The first and only book to help healthcare professionals, nurses, physician's assistants, nursing assistants, and those from other allied professions understand how newly diagnosed patients react emotionally.
Subject Patients -- psychology.
Adaptation, Psychological.
Directive Counseling -- methods.
Patient Acceptance of Health Care.
Professional-Patient Relations.
Medical personnel and patient.
Sick -- Psychology.
Added Author Buchman, Michelle.
ISBN 9781435495692 (pbk.)
1435495691 (pbk.)

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