A case study of palliative care consultation: narrative practice for addressing clinical bottleneck problems

Author:

Li Fei1,Wang Jianli2,Ning Xiaohong3

Affiliation:

1. School of Humanities and Social Sciences , Chinese Academy of Medical Sciences/Peking Union Medical College , Beijing , China

2. Institute of World Religions , Chinese Academy of Social Sciences , Beijing , China

3. Palliative Medicine Center, Peking Union Medical College Hospital , Chinese Academy of Medical Sciences & Peking Union Medical College , Beijing , China

Abstract

Abstract Objectives This study focuses on the integration of Palliative Care and Narrative Medicine by presenting a case study of palliative care consultation. Case presentation The research team provides a definition of bottleneck problems and examines the use of narrative in palliative care as a means to address these issues. A case study of demonstrated palliative care consultation is analyzed to illustrate the effectiveness of narrative practice in addressing bottleneck problems. We attempt to elaborate on the competence of narrative medicine and demonstrate its values in clinical practice. Building upon the case study and analysis, we propose three steps for clinical practice; namely, recognizing pain, establishing relationship, and addressing bottleneck problems. The case study exemplifies how narrative practice identifies and addresses bottleneck problems. Conclusions The article delves into the practical requirements of narrative medicine in healthcare and explores how medical training can address these needs. In addition, it offers valuable insights into the implementation of narrative medicine in medical practice.

Publisher

Walter de Gruyter GmbH

Reference14 articles.

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2. Fei, L. [Xu shi yi xue de ben tu hua shi jian lu jing tan xi] Analysis on the local practice of narrative medicine. Chin J Med Edu 2022;42:29–33.

3. Fei, L, Jianli, W, Ning, X, [Xu shi yi xue yu huan he yi liao de xiang rong jiao hui–“huan he yi liao 10 nian” bi tan cheng guo zhi yi] The compatibility intersection of narrative medicine and palliative care: the first written talks outcome of the “10 years of palliative care”. Chin Med Ethics 2022;35:1171–7.

4. Li, F, Ning, X, Wang, J, He, Z. [Xu shi bing li lin chuang ying yong de ke neng lu jing] Possible approaches to clinical application of narrative medical records. Med Philos 2022;43:46–51.

5. Li, F, Ning, X, He, Z, Fang, J, Wang, J, Hou, L, et al.. On the local practice of narrative palliative care. Asian J Med Humanit 2023;2:20220008. https://doi.org/10.1515/ajmedh-2022-0008.

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