“How Much Time Do I Have?” Prognostication in Palliative Care from a Clinician’s Perspective
摘要
This chapter explores prognostication from a Chinese palliative care physician’s perspective. Time plays a crucial role in our lives, influencing the decisions we make. Patients and their families often seek answers to the challenging question of what the future holds. Prognostication involves estimating a patient’s life expectancy (“Foreseeing”) and communicating this information (“Foretelling”). It helps healthcare providers, patients, and families make important decisions, not just about medical treatment but also about other aspects of life. To be skilled at “foretelling”, it is essential to understand the cultural values of the people involved and address ethical concerns. The chapter presents various scenarios to illustrate the complexities of prognostication in the context of Chinese society, in which the importance of the relational self sometimes surpasses that of an individual. Ultimately, the question of “how much time do I have” goes beyond a simple countdown, reflecting a deeper desire for answers that go beyond the constraints of time.