The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Bril E.V.

Burnazyan Federal Medical and Biophysical Center

Hasina A.V.

Burnazyan Federal Medical and Biophysical Center

Zimnyakova O.S.

Burnazyan Federal Medical and Biophysical Center

Fedorova N.V.

Russian Medical Academy of Continuous Professional Education

Communication with a neurological patient

Authors:

Bril E.V., Hasina A.V., Zimnyakova O.S., Fedorova N.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(2): 36‑42

DOI: 10.17116/jnevro202212202136

Read: 4496 times

Download PDF (RU)
Contact the author
Table of contents

COMMUNICATION WITH A NEUROLOGICAL PATIENT
COMMUNICATION WITH A NEUROLOGICAL PATIENT

To cite this article:

Bril EV, Hasina AV, Zimnyakova OS, Fedorova NV. Communication with a neurological patient. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(2):36‑42. (In Russ.)
https://doi.org/10.17116/jnevro202212202136

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Abstract:

Patient communication skills are critical for the management of neurological patients, in particular for discussing neurological diagnosis and prognosis. The key communication tools are SPIKES protocol for delivering «bad news» and the Calgary-Cambridge model. These communication tools allow to implement a patient-oriented approach to treatment, build effective communication with the patients, and thus provide them high-quality and personalized medical care.

Keywords:

physician
ill person
neurological patient
communication

Authors:

Bril E.V.

Burnazyan Federal Medical and Biophysical Center

Hasina A.V.

Burnazyan Federal Medical and Biophysical Center

Zimnyakova O.S.

Burnazyan Federal Medical and Biophysical Center

Fedorova N.V.

Russian Medical Academy of Continuous Professional Education

Received:

01.12.2021

Accepted:

18.01.2022

Close metadata

References:

  1. Pellegrino ED. Professionalism, profession and the virtues of the good physician. Mt Sinai J Med. 2002;69(6):378-384. 
  2. Kurtz SM. Doctor-Patient Communication: Principles and Practices. Can J Neurol Sci. 2002;29(suppl 2):23-29.  https://doi.org/10.1017/s0317167100001906
  3. Watling CJ, Brown JB. Education research: communication skills for neurology residents: structured teaching and reflective practice. Neurology. 2007;69(22):20-26.  https://doi.org/10.1212/01.wnl.0000280461.96059.44
  4. Baile WF. SPIKES-A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer. The Oncologist. 2000;5(4):302-311.  https://doi.org/10.1634/theoncologist.5-4-302
  5. Sil’verman Dzh, Kerts Dzh, Dreiper S. Navyki obshcheniya s patsientami. M.: Granat; 2018;304. (In Russ.).
  6. Stiggelbout AM, Molewijk AC, Otten W, et al. Ideals of patient autonomy in clinical decision making: a study on the development of a scale to assess patients’and physicians’ views. J Med Ethics. 2004;30(3):268-274.  https://doi.org/10.1136/jme.2003.003095
  7. Frank JR. The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005.
  8. Accreditation Council for Graduate Medical Education. Toolbox for the evaluation of competence. Accessed January 16, 2007. https://www.acgme.org
  9. Peltier WL. Core competencies in neurology resident education: a review and tips for implementation. Neurologist. 2004;10(2):97-101.  https://doi.org/10.1097/01.nrl.0000118324.67025.4f
  10. D’yachenko EV, Sizova ZhM. Otsenka navykov obshcheniya s patsientom v simulirovannykh usloviyakh pri akkreditatsii meditsinskikh spetsialistov: organizatsionnoe i nauchno-metodicheskoe obespechenie, problemy, napravleniya reshenii. Meditsinskoe Obrazovanie i Professional’noe Razvitie. 2020;11(2):66-79. (In Russ.). https://doi.org/10.24411/2220-8453-2020-12005
  11. Lansky D. Measuring what matters to the public. Health Aff (Millwood). 1998;17(4):40-41.  https://doi.org/10.1377/hlthaff.17.4.40
  12. Azoulay E, Chevret S, Leleu G, et al. Half the families of intensive care unit patients experience inadequate communication with physicians. Crit Care Med. 2000;28(8):3044-3049. https://doi.org/10.1097/00003246-200008000-00061
  13. Caplan LR, Hollander J. The Effective Clinical Neurologist. USA: PMPH; 2010;339. 
  14. Bernat JL. Ethical Issues in Neurology. Philadelphia: Lippincott Williams & Wilkins; 2008;251-463. 
  15. Beauchamp TL, Childress JF. Principles of biomedical ethics. NY: Oxford University Press; 2009.
  16. Fitzgerald RG, Parker CM. Coping with loss. Blindness and loss of other sensory and cognitive functions. BMJ. 1998;318:1160-1163.
  17. Faden RR, Beauchamp TL. A History and Theory of Informed Consent. NY: Oxford University Press; 1986.
  18. Gillon R. Telling the truth and medical ethics. Br Med J (Clin Res Ed). 1985;30:291(6508):1556-1557. https://doi.org/10.1136/bmj.291.6508.1556
  19. Christakis NA, Lamont EB. Extent and determinants of error in doctors’ prognoses in terminally ill patients: prospective cohort study. BMJ. 2000(19);320:469-472.  https://doi.org/10.1136/bmj.320.7233.469
  20. Bernat JL, Peterson LM. Patient-Centered Informed Consent in Surgical Practice. Arch Surg. 2006;141(1):86-92.  https://doi.org/10.1001/archsurg.141.1.86
  21. Macauley R. The analysis and resolution of ethical dilemmas. In: Aminoff MJ, Boller F, Swaab DF. Handbook of clinical neurology. Elsevier. 2013;118. 
  22. Shaw J, Brown R, Dunn S. The impact of delivery style on doctors’ experience of stress during bad news consultations. Patient Educ Couns. 2015;98(10):1255-1259. https://doi.org/10.1016/j.pec.2015.08.023
  23. Buckman R. How to break bad news: A guide for health professionals. Baltimore: MD, Johns Hopkins Press; 1992.
  24. Goebel S, Mehdorn HM. Breaking Bad News to Patients with Intracranial Tumors: The Patients’ Perspective. World Neurosurgery. 2018;118:254-262.  https://doi.org/10.1016/j.wneu.2018.06.168
  25. Aoun SM, Breen LJ, Edis R, at al. Breaking the news of a diagnosis of motor neurone disease: A survey of neurologists’ perspectives. J Neurol Sci. 2016;367:368-374.  https://doi.org/10.1016/j.jns.2016.06.033
  26. Aoun SM, Bentley B, Funk L. at al. A 10-year literature review of family caregiving for motor neurone disease: moving from caregiver burden studies to palliative care interventions. Palliative Medicine. 2013;27(5):437-446.  https://doi.org/10.1177/0269216312455729
  27. Kiesler DJ, Auerbach SM. Optimal matches of patient preferences for information, decision-making and interpersonal behavior: Evidence, models and interventions. Patient Education and Counseling. 2006;61(3):319-341.  https://doi.org/10.1016/j.pec.2005.08.002
  28. Holroyd S, Turnbull Q, Wolf AM. What are patients and their families told about the diagnosis of dementia? Results of a family survey. Int J Geriatr Psychiatry. 2002;17(3):218-221.  https://doi.org/10.1002/gps.552
  29. Erde EL, Nadal EC, Scholl TO. On truth telling and the diagnosis of Alzheimer’s disease. J Fam Pract. 1988;26(4):401-406. 
  30. Elson P. Do older adults presenting with memory complaints wish to be told if later diagnosed with Alzheimer’s disease? Int J Geriatr Psychiatry. 2006;21(5):419-425.  https://doi.org/10.1002/gps.1485
  31. Bousquet G, Orri M, Winterman S, et al. Breaking bad news in oncology: a metasynthesis. J Clin Oncol. 2015;33(22):2437-2443. https://doi.org/10.1200/JCO.2014.59.6759
  32. Rosenblum ML, Kalkanis S, Goldberg W, at al. Odyssey of hope: a physician’s guide to communicating with brain tumor patients across the continuum of care. J Neuro-Oncology. 2009;92(3):241-251.  https://doi.org/10.1007/s11060-009-9828-1
  33. Goebel S, Mehdorn HM. Breaking Bad News to Patients with Intracranial Tumors: The Patients’ Perspective. World Neurosurgery. 2018;118:254-262.  https://doi.org/10.1016/j.wneu.2018.06.168.
  34. Goebel S, Kaup L, Mehdorn HM. Measuring preoperative anxiety in patients with intracranial tumors: the Amsterdam preoperative anxiety and information scale. J Neurosurg Anesthesiol. 2011;23(4):297-303.  https://doi.org/10.1097/ANA.0b013e318222b787
  35. Taphoorn MJB, Klein M. Cognitive deficits in adult patients with brain tumours. Lancet Neurol. 2004;3(3):159-168.  https://doi.org/https://doi.org/10.1016/S1474-4422(04)00680-5.
  36. Schrag A, Modi S, Hotham S, et al. Patient experiences of receiving a diagnosis of Parkinson’s disease. J Neurol. 2018;265(5):1151-1157. https://doi.org/10.1007/s00415-018-8817-8.
  37. Global Parkinson’s Disease Study Survey (GPDS) Steering Committee. Factors impacting on quality of life in Parkinson’s disease: results from an international survey. Mov Disord. 2002;17(1):60-67.  https://doi.org/10.1002/mds.10010. PMID: 11835440.
  38. Stewart DA. NICE guideline for Parkinson’s disease. Age Ageing. 2007;36(3):240-242.  https://doi.org/10.1093/ageing/afm040. PMID: 17405775.
  39. Ferreira JJ, Katzenschlager R, Bloem B, at al. Summary of the recommendations of the EFNS/MDS-ES review on therapeutic management of Parkinson’s disease. Eur J Neurol. 2013;20(1):5-15.  https://doi.org/10.1111/j.1468-1331.2012.03866.x
  40. Parker PA, Baile WF, de Moor C, at al. Breaking Bad News About Cancer: Patients’ Preferences for Communication. J Clin Oncol. 2001;9(7):2049-2056. https://doi.org/10.1200/JCO.2001.19.7.2049
  41. Fallowfield L, Jenkins V. Communicating sad, bad, and difficult news in medicine. Lancet. 2004;363(9405):312-319.  https://doi.org/10.1016/S0140-6736(03)15392-5
  42. Kübler-Ross E. On Death and Dying. Tavistock Publications, 1976.
  43. Maciejewski PK, Zhang B, Block SD, Prigerson HG. An Empirical Examination of the Stage Theory of Grief. JAMA. 2007;297(7):716-723.  https://doi.org/10.1001/jama.297.7.716
  44. Baile WF, Buckman R, Lenzi R, at al. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302-311.  https://doi.org/10.1634/theoncologist.5-4-302.
  45. Lemmon ME, Strowd RE. Right Brain: Breaking bad news: Communication education for neurology trainees. Neurology. 2016;87(24):285-287.  https://doi.org/10.1212/WNL.0000000000003433.
  46. Watling CJ, Brown JB. Education research: communication skills for neurology residents: structured teaching and reflective practice. Neurology. 2007;69(22):20-26.  https://doi.org/10.1212/01.wnl.0000280461.96059.44.
  47. Vandekieft GR. Breaking bad news. Am Fam Physician. 2001;64(12):1975-1978.
  48. Cooper RS, Ferguson A, Bodurtha JN, Smith TJ. AMEN in challenging conversations: bridging the gaps between faith, hope, and medicine. J Oncol Pract. 2014;10(4):191-195.  https://doi.org/10.1200/JOP.2014.001375.
  49. Khasina AV, Bril’ EV. Kak obsuzhdat’ «plokhie novosti». Kak soobshchit’ patsientu i ego rodstvennikam o diagnoze. Non Nocere. Novyi Terapevticheskii Zhurnal. 2019;5:122-129. (In Russ.).
  50. Langewitz W, Denz M, Keller A, at al. Spontaneous talking time at start of consultation in outpatient clinic: cohort study. BMJ. 2002;325(7366):682-683.  https://doi.org/10.1136/bmj.325.7366.682
  51. Heritage J, Robinson J, Elliott MN, at al. Reducing patients’ unmet concerns in primary care: the difference one word can make. J Gen Int Med. 2007;22(10):1429-1433. https://doi.org/10.1007/s11606-007-0279-0
  52. Stewart M, Brown JB, Donner A. at al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796-804 
  53. Salander P. Bad news from the patients’ perspective: an analysis of the written narratives of newly diagnosed cancer patients. Soc Sci Med. 2002;55(5):721-732.  https://doi.org/10.1016/s0277-9536(01)00198-8
  54. Bril EV, Kuznetsova OV, Khasina AV, Zimnyakova OS. Obuchenie i razvitie navykov kommunikatsii — neot»emlemaya chast’ professionalizma vracha. Glavvrach. 2019;10:9-15. (In Russ.). https://doi.org/10.33920/med-03-1910-02
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.