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Biomedical subjects

R C Charlton

Publications and source records attributed to R C Charlton.

8 recordsLinked to original sources
PubMed1997

Spontaneous regression of cancer or misdiagnosis? Four case reports.

Four case reports regarding possible spontaneous regression of cancer are given. This is a rare but previously documented occurrence, with the literature suggesting possible causal factors for cancer regression or an indefinite period of dormancy. These include genetic, hormonal, immunological and psychological factors. However, the literature makes no reference to potential misdiagnosis, either clinically or histologically. The effect of being diagnosed as having terminal cancer is profound and even after regression or resolution of the disease, there are inevitable psychological sequelae.

Aged↗
PubMed1995

The onset of dementia following bereavement.

A case history approach is used to support the hypothesis from the literature that there may be a relationship between bereavement and the onset of dementia. The four cases report people caring for spouses or parents with life-threatening illness who become bereaved. The findings provide evidence that bereavement is a factor involved in the rapid development and progression of Alzheimer's type dementia. Although not conclusive, these findings should lend a stimulus to further studies with regard to care of caregivers with particular reference to bereavement.

Aged↗
PubMed1993

Using role-plays to teach palliative medicine.

Teaching of communication skills in Palliative Medicine can be achieved using a three hour exercise involving role-plays, a time of feedback and discussion, a teaching video and a reading list. Using this teaching method self-ratings of perceived skills recorded on a questionnaire before and four weeks after the exercises showed a significant increase in both undergraduates and postgraduates. The validity of these self-ratings as a tool to measure communication skills was assessed by correlating the self-ratings with the ratings given by the participant and the observers after the clinical scenarios from the questionnaire were simulated in role-plays.

Communication↗
PubMed1992

Breaking bad news.

OBJECTIVE: To investigate the importance of a sympathetic approach to breaking bad news in the doctor-patient relationship. DATA SOURCES: Worldwide surveys of views on truth disclosure by health care professionals, the public, and patients with cancer and other diseases. STUDY SELECTION: Surveys using a Medline Computer Search were identified. DATA EXTRACTION: Twenty-two questionnaire studies. DATA SYNTHESIS: The data obtained demonstrate trends of an increasing wish since 1950 on the part of patients, the public and doctors for more openness. CONCLUSIONS: The skills necessary for breaking bad news well can be acquired through organised undergraduate and postgraduate education which emphasises a good working doctor-patient relationship.

Australia↗
PubMed1991

Attitudes towards care of the dying: a questionnaire survey of general practice attenders.

In order to determine the views of General Practice attenders on death and dying, a survey was conducted using a questionnaire with nine questions on aspects of death and dying. There were 4117 respondents with an average age of 36.4 years, who attended 10 general practices. A control group of 100 patients was employed. There was a stated preference for management by the General Practitioner and a wish to die in the home. An honest approach by doctors was called for and the greatest fear concerning death was that of leaving the family. A subgroup of people who stated that they had close personal experience of death or dying, amplified most of these findings.

Attitude↗