When "Patient-Centred Care" becomes a Tug-of-War: 𝗔 Psychologically Informed Palliative Care Communication Approach

Henning Gericke
1 hour ago
2 min read

Motivation for a Psychologically Informed Palliative Care Communications Approach

Within palliative care, there often develops a tug-of-war between two or more of the following parties: the patient, family members, and healthcare professionals.

Experienced palliative care practitioners often handle these situations with great sensitivity through conventional negotiation and mediation. Yet, these interactions can span over a long time, become emotionally draining, difficult to resolve fully, and may unintentionally shift the focus away from the patient’s quality of life in the present. Despite everyone’s best intentions, one or more parties may leave feeling unheard, frustrated, or dissatisfied.

Aim of the Psychologically Informed Palliative Care Communications Presentation

I’m presenting a free introductory video that introduces palliative care professionals to a shortcut for a psychologically informed palliative care communication skill designed for these situations. The approach aims to increase the likelihood of constructive and satisfying outcomes for all involved, reduce lengthy confrontations, acknowledge the deeper underlying needs beneath conflict, and make the principle of “patient-centred care” more of a practical reality.

I use two example scenarios to illustrate how this approach can be applied with great effect.

Feedback after the presentation

This is the feedback I got from a former Hospice nurse who attended the live webinar:

Thank you so much, Henning, for the excellent presentation on Palliative Care. As a former hospice nurse, I gained valuable new insights — especially around managing urgencies that families or patients may present with. With the best intentions, some interventions can unintentionally worsen a patient’s comfort and quality of life.

Henning guided us brilliantly through the communication process in real life scenarios and showed how a different approach can protect patient comfort without unnecessary and undignified interventions.

I truly wish everyone working in palliative care could learn from you, for the benefit of patients and their families!