• J Pain Symptom Manage · Feb 2018

    Case Reports

    Addressing a Patient's Hope for a Miracle.

    • Myrick C Shinall, Devan Stahl, and Trevor M Bibler.
    • Vanderbilt University Medical Center Section of Palliative Care, Nashville, Tennessee, USA. Electronic address: ricky.shinall@vanderbilt.edu.
    • J Pain Symptom Manage. 2018 Feb 1; 55 (2): 535539535-539.

    AbstractIll patients may make decisions to continue aggressive life-prolonging care based on hope for a miraculous recovery, and clinicians can find goals of care discussions with these patients extremely challenging. Thus, palliative care providers may be asked to help in these discussions. The concept of "miracle" can express a multitude of hopes, fears, and religious commitments. Effective, sensitive engagement requires the palliative care provider to attend to these variegated hopes, fears, and commitments. This case presents a typology of ways patients express hope for a miracle along with analysis of the motivations and beliefs underlying such hopes and suggestions for tailored responses by palliative care providers.Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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