ation. By listening, explained the authors, the physician provides the patient a chance to be heard and understood, explore fears and concerns, mourn losses, articulate hopes and final wishes and share the unique meaning that illness has for each individual.
This review provides oncologists with an instructive framework from which to screen and manage their patients. Drs. Miovic and Block conclude, oncologists can help reduce psychological distress in patients with advanced cancer through effective communication, providing routine emotional support, screening for psychiatric disorders, appropriately prescribing anxiolytic and antidepressant medications, referring patients to support groups, collaborating with mental health professionals, and dealing with end-of-life issues.
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