2011 Wolfe Lectureship-'What Patients Really Want from Their Physicians: Lessons from Hospice and Palliative Care'

1.) A 52 year old man has been in the ICU for 2 weeks with sepsis and multi-organ failure complicating extensive-stage small cell lung cancer on initial chemotherapy.
A family meeting is held to discuss goals of care and treatment options. Which of the following correlates with increased family satisfaction with the meeting and decreased conflict with the doctor?
Please select only one answer.
A.) Length of the family meeting
B.) Size of the family
C.) Age of the doctor
D.) Proportion of time the family spoke in the family meeting
E.) Whether the doctor recommended withdrawal of life supports.

2.) A 42 year old woman has recieved a diagnosis of metastatic endometrial cancer.
If she is a typical patient,which of the following is LEAST likely to match her preferences for hearing her prognosis?
Please select only one answer.
A.) Be realistic about my likely future.
B.) Discuss my financial concerns.
C.) Acknowledge me as an individual.
D.) Give me an opportunity to ask questions.
E.) Ensure that my doctor tells me personally what my results are.

3.) A 91 year old woman has just entered hospice care with dementia, atrial fibrillation, falls, and ongoing weight loss.
When reviewing her medications, which of the following should raise the MOST concern for risks outweighing benefits?
Please select only one answer.
A.) Warfarin
B.) Vitamins
C.) Lovastatin
D.) Morphine
E.) Baby aspirin

This activity met these objectives:
Identify three behaviors patients need from their physicians, regardless of whether they are at the end of life.
Strongly DisagreeStrongly Agree
Describe how hospice and palliative research sheds light on the doctor-patient relationship.
Strongly DisagreeStrongly Agree

Speaker Evaluation
Joseph D. Rotella, M.D. communicated clearly and effectively.
This presenter provided the information without commercial bias. If no, please describe.
The speaker was knowledgeable about the subject matter.

Change in Knowledge / Competence
Today's content improved my knowledge of the subject.
If yes, how?

Change in Performance
This content inspired me to change practice.
If yes, how will you change practice?
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