Anatomy of clinical consultation. Pain in a patient with metastasized prostate cancer. I can help when you ask me the right questions

Zbigniew Zylicz

Vol 10, No 2 (2011)

Case reports

Published online: 2011-07-01

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Anatomy of clinical consultation. Pain in a patient with metastasized prostate cancer. I can help when you ask me the right questions

Zbigniew Zylicz

Advances in Palliative Medicine 2011;10(2):79-82.

Vol 10, No 2 (2011)

Case reports

Published online: 2011-07-01

Abstract

We are all asked for consultations to see a complex patient or to answer the telephone call and think about the patient without seeing him and without touching him. Although this type of consultation is much cheaper, faster and sometimes effective. There is a danger that we hear only a part of the story, or a story coloured in such a way that it will push the decision in one direction, intended by a doctor or nurse who requested it. In this article I describe a consultation “by a telephone”. I go in de depths of the request and discuss with the doctor who asked me in consultation all pros and cons. I come to conclusion that we should teach young doctors how to request consultation, which questions to ask without suggesting the answers.
Adv. Pall. Med. 2011; 10, 2: 79–82

Abstract

We are all asked for consultations to see a complex patient or to answer the telephone call and think about the patient without seeing him and without touching him. Although this type of consultation is much cheaper, faster and sometimes effective. There is a danger that we hear only a part of the story, or a story coloured in such a way that it will push the decision in one direction, intended by a doctor or nurse who requested it. In this article I describe a consultation “by a telephone”. I go in de depths of the request and discuss with the doctor who asked me in consultation all pros and cons. I come to conclusion that we should teach young doctors how to request consultation, which questions to ask without suggesting the answers.
Adv. Pall. Med. 2011; 10, 2: 79–82

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Keywords

consultation; cancer pain; pain in cancer; opioid switching; morphine; fentanyl

About this article

Title

Anatomy of clinical consultation. Pain in a patient with metastasized prostate cancer. I can help when you ask me the right questions

Journal

Advances in Palliative Medicine

Issue

Vol 10, No 2 (2011)

Pages

79-82

Published online

2011-07-01

Page views

556

Article views/downloads

1119

Bibliographic record

Advances in Palliative Medicine 2011;10(2):79-82.

Keywords

consultation
cancer pain
pain in cancer
opioid switching
morphine
fentanyl

Authors

Zbigniew Zylicz