Aufklärung über Behandlungsschritte, Kontrolluntersuchungen und Nachsorge

For the medical conversation with the patient the best possible external basic conditions are to be aimed. Today, when there are bad news for cancer patients it is still possible to offer an hope bearer for his further life planning. Nevertheless, thus he can still see „light at the end of the tunnel“. For the mostly out-patient treatment four different therapy attempts are to be explained to the patient: curative, adjuvant and palliative therapy as well as „wait and see“. Restaging investigations can confirm the (long time) remission or healing. Otherwise the indications to 2nd, 3rd or 4th line chemotherapy must be discussed. The communication of the diagnosis of the relapse can release the feeling of faint, fright and helplessness with depressive reactions. Therefore, for prevention the expectations should be damped. As far as the question of prognosis is concerned the doctor can get in the conflict between realism, optimism and avoiding. Medical conversation means a therapeutic act of interpretation, which needs an empathetic comment. In the follow-up social-medical and psycho-social aspects should also be dealt.