Abstract: |
A significant percentage of cancer patients develop concomitant psychiatric disorders, such as adjustment disorders, demoralisation, and depression; and those with advanced disease are a particularly vulnerable group. Or not infrequently, oncology nurses providing ambulatory care may develop long and enduring relationships with their patients. They often spend more time with their patients than other health professionals do, so they may be better able to identify problems and provide specific interventions. Because nurses are in a key position to identify and respond to a patient's emotional distress, their ability to establish a dialogue about emerging symptoms is invaluable. This chapter describes a model of core communication components consisting of strategies, skills, and process tasks. This model will enable nurses to gain an understanding of the patient's experience and assist in the recognition and treatment of depression. |