1. Introduction to Communication Approach
2. C - Connect
3. O - Options
4. M - Making Meaning
5. F - Family
6. O - Openings
7. R - Relating
8. T - Team
Appendix:
Recommended Outcome Measure: Comfort with Communication in
Palliative and End of Life Care (C-COPE) ©
Recommended COMFORT Communication Competencies By Chapter
Recommended Comprehensive Teaching Resources
Elaine Wittenberg is Associate Professor in the Department of
Communication Studies at California State University, Los Angeles.
She is co-founder of the COMFORT Communication project, a national
health communication training program funded by the National Cancer
Institute.
Joy V. Goldsmith is a Professor at the University of Memphis in the
Department of Communication and Film. She serves as Co-Director of
the Center for Health Literacy and Health Communication at the
University of Memphis.
Sandra L. Ragan is Professor Emerita, Department. of Communication,
University of Oklahoma, where she taught during the years 1983 -
2006 and also served as director of graduate studies and associate
dean of the College of Arts & Sciences.
Terri Ann Parnell is a nurse, a recognized health literacy expert,
and an award-winning author. She is Principal and Founder of Health
Literacy Partners LLC. She is a consultant and frequent speaker on
the topics of health literacy, cultural competency, and patient
education.
"This book is written by four experts in communication (although it
is noted that Parnell is also a nurse). It is written about and for
the palliative care scene in the USA, but I think the principles
discussed make it relevant elsewhere. If you work in palliative
care and wonder whether your communication skills could be
improved, or if you teach about communication in palliative care,
then this book has a lot to offer." -- Roger Woodruff, IAHPC
Newsletter
Every clinical encounter encompasses an exchange of information,
emotions and impressions. This book empowers nurses and other
clinicians to use each encounter as a therapeutic opportunity.
Extensively researched and authoritative, Communication in
Palliative Nursing is a trove of resources for educators and
investigators seeking to advance patient- and family-centered
practice. - Ira Byock, MD, author of Dying Well and The Best
Care
Possible, Active Emeritus Professor of Medicine, The Geisel School
of Medicine at Dartmouth University, Hanover, NH
Wittenberg, Goldsmith, Ragan, and Parnell's updates to
Communication in Palliative Nursing truly reflect a down to earth
approach for developing the skillful and empathic communication
techniques needed for effective palliative and end-of-life care
conversations. Changes to the COMFORT Model, such as "Connect" and
"Making meaning" underscore the importance of the nurseâs role in
bearing witness to patient and family suffering. The text shares
poignant
examples of how nurses can guide patients and families toward
accurately understanding their palliative story, while also helping
them to find meaning in their suffering. The authors deftly
interweave clinical
stories to illustrate communication strategies, providing a
realistic "how-to" for nurses to incorporate in their everyday
practice. - Mary J. Isaacson, RN, PhD, CHPN, Associate Professor,
Graduate Nursing, South Dakota University College of Nursing, Rapid
City, SD
It is with great enthusiasm that I read Drs. Wittenberg, Goldsmith,
Ragan, and Parnell's new edition of Communication in Palliative
Nursing. If we are to have a transformation in the delivery of
care, we need to be more intentional and nuanced in our
communication. The updates in this second edition resulted from
iterative adaptations to our evolving field and have increased its
relevancy and broadened its impact. I especially appreciate the
bookâs increased attention to exploring the Social Determinants of
Health and recognizing how diversity too often equals disparity. We
all benefit from a deeper understanding of how to create meaningful
relationships
with diverse people and this text provides practical skills to help
us do so. - Shirley Otis-Green, MSW, MA, ACSW, LCSW, OSW-C, FNAP,
Collaborative Caring, Toluca Lake, CA
The evidence-based COMFORT Model provides the necessary framework
to guide patient-centered communication along the illness
trajectory. The specific tools and exercises offered in this book
are so powerful; each will assist the nurse and other
interprofessional healthcare providers to navigate complex and
crucial conversations that honors patient values and achieves
quality outcomes. - Maryjo Prince-Paul, PhD, MSN, RN, FPCN,
Associate Professor, Case Western
Reserve University, Frances Payne Bolton School of Nursing,
Cleveland, OH
While good communication skills remain one of the most important
functions that impact nursing care, there are still not many
curriculums that focus on those for nurses and their roles,
especially in regards to âsharing difficult information.â The
COMFORT Model fills that need and is easy to incorporate into
clinical education strategies. This new edition of Communication in
Palliative Nursing is an enhanced version of the curriculum and
the use of the clinical scenarios and enhancements to the models
based on clinical application make this a must read for any nurse,
not just those in palliative care roles. - Anne M. Kolenic, DNP,
APRN, AOCNS, Ambulatory
Clinical Nurse Specialist, University Hospitals Seidman Cancer
Center, Cleveland, OH
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