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Patient-centred management in idiopathic pulmonary fibrosis: similar themes in three communication models

Wim A. Wuyts, Fedro A. Peccatori, Anne-Marie Russell
European Respiratory Review 2014 23: 231-238; DOI: 10.1183/09059180.00001614
Wim A. Wuyts
1Unit for Interstitial Lung Diseases, Dept of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium. 2Fertility and Procreation Unit, Division of Gynaecologic Oncology, European Institute of Oncology, Milan, Italy. 3National Heart and Lung Institute, Royal Brompton Hospital and Imperial College, London, UK
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  • For correspondence: wim.wuyts@uzleuven.be
Fedro A. Peccatori
1Unit for Interstitial Lung Diseases, Dept of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium. 2Fertility and Procreation Unit, Division of Gynaecologic Oncology, European Institute of Oncology, Milan, Italy. 3National Heart and Lung Institute, Royal Brompton Hospital and Imperial College, London, UK
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Anne-Marie Russell
1Unit for Interstitial Lung Diseases, Dept of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium. 2Fertility and Procreation Unit, Division of Gynaecologic Oncology, European Institute of Oncology, Milan, Italy. 3National Heart and Lung Institute, Royal Brompton Hospital and Imperial College, London, UK
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  • Figure 1.
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    Figure 1.

    Patient-centred care model in oncology. Reproduced from [19] with permission from the publisher.

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    Figure 2.

    Patient-centred care model in oncology: potential health outcomes from better communication. Reproduced from [19] with permission from the publisher.

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    Figure 3.

    The Brompton model of care. Referrals to the interstitial lung disease unit at the Royal Brompton Hospital (London, UK) in 2012. IPF: idiopathic pulmonary fibrosis; CTD: connective tissue disease; HP: hypersensitivity pneumonitis.

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    Figure 4.

    The Brompton model of care: core members and interdisciplinary team members for interstitial lung disease (ILD) patients. MDT: multidisciplinary team. #: to be appointed.

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  • Table 1. Patient-centred clinician behaviours
    Nonverbal behaviours
         Maintaining eye contact
         Forward lean to indicate attentiveness
         Nodding to indicate understanding
         Absence of distracting movements (e.g. fidgeting)
    Verbal behaviours
         Avoiding interruptions
         Establishing purpose of visit
         Encouraging patient participation
         Soliciting the patient’s beliefs, values and preferences
         Eliciting and validating the patient’s emotions
         Asking about family and social context
         Providing sufficient information
         Providing clear, jargon-free explanations
         Checking for patient understanding
         Offering reassurance
         Offering encouragement and support
    • Reproduced from [19] with permission from the publisher.

  • Table 2. Active patient communication behaviours
    Asking questions
    Communicating assertively
         Offering opinions
         Stating preferences
         Interrupting, if necessary
         Sharing beliefs about health
         Introducing topics for discussion
    Expressing concerns and feelings
         Expressing emotions
         Disclosing fears and worries
         Noting frustration
    • Reproduced from [19] with permission from the publisher.

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    • A-M. Russell
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Patient-centred management in idiopathic pulmonary fibrosis: similar themes in three communication models
Wim A. Wuyts, Fedro A. Peccatori, Anne-Marie Russell
European Respiratory Review Jun 2014, 23 (132) 231-238; DOI: 10.1183/09059180.00001614

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Patient-centred management in idiopathic pulmonary fibrosis: similar themes in three communication models
Wim A. Wuyts, Fedro A. Peccatori, Anne-Marie Russell
European Respiratory Review Jun 2014, 23 (132) 231-238; DOI: 10.1183/09059180.00001614
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  • Article
    • Abstract
    • Introduction
    • Problems faced by IPF patients during the course of their disease
    • Communication in oncology
    • Conclusion
    • Acknowledgments
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Subjects

  • Interstitial and orphan lung disease
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