Patient Education and Counseling 88 (2012) 350–351
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Patient Education and Counseling
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Reflective Practice
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Exposed ,
Anthony Heymann *
The Department of Family Medicine, The University of Tel Aviv, Israel
A R T I C L E I N F O A B S T R A C T
Article history: This description of palliative care in General Practice allows the reader to understand how easy it is for
Received 19 August 2011
the physician to lose his way.
Received in revised form 18 November 2011
ß 2012 Published by Elsevier Ireland Ltd.
Accepted 29 December 2011
Keywords:
Palliative care
Home visit
Doctor patient relationship
Medical education
It was seven o’clock in the evening. Yael, my trainee ing Over a period of months Joel’s toes once dusky blue, had in part
to the end of her nine month stint of General Practice. Today there turned black. The significance of this gradual physiological shut
was no time to discuss what happened in the clinic. I had promised down was not lost on any of us. More recently the skin had broken
the previous week that I would visit one of my sickest patients. Joel down over the proximal phalanx of his second toe, right foot. Sarah,
was a pious man who lived with his wife Sarah. Now he, his wife a practical soul, duti
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