Influences
Media:
Examples: Social Media, blogging sites, TV,
websites on treatments, etc.
Technological Advances:
Examples: Medical advances, consumer or
home advances, records able to be seen by
patient, etc.
Interpersonal Communications:
Examples: Communication with the hospice
caregiver, family, relatives, friends, doctors,
etc. This can be verbal or non-verbal
communication.
Examples
“How patient or family use of social media
affects providers, including a review of the
literature and cases (eg, how providers feel
when they know patients and families are
blogging about them and the effects this has
on interactions and subsequent decisions
regarding care.” (JPSM Journal).
“The influence of social media on patients and
families, including how patients gather
information about available treatments, social
media’s role in offering emotional support,
especially when far from home, and how
patients may begin to acquire a public persona
that affects their flexibility in decision
making.” (JPSM Journal).
“Informatics applications including electronic
medical records, hospital information systems,
medical imaging applications and
telemedicine platforms are widely used in
health care settings.” (NCBI).
“Initially developed with an emphasis on
improving care delivery within an institution,
advances in technology have shifted the
design of IT based systems to a focus on
patient applications that allow patients to be
actively involved in the decision making
process and to access their own record and
other resources.” (NCBI).
“For palliative care, in which communication
is the cornerstone of interactions with patients
and families and greatly influences decision-
making and goal setting…” (JPSM Journal).
“Interdisciplinary collaboration in a hospice
and palliative care setting is influenced by
effective communication. Communication can
be both verbal and nonverbal with subtypes
that can include positive and negative
communication, open and closed

Immediate and Long Term Risks
Examples: Death, confusion, deadly diseases,
communication issues, etc. These are all
possible long term risks for the hospice
patient.
communication as well as effective and
ineffective communication.” (Symbiosis).
“As brain and judgment functions decline,
your loved one may become confused about
the day, time, others’ identities, or his or her
own identity.Often, those nearing the end of
life mistake people in the present for people
they knew in the past. Or, they may forget
individuals altogether.” (Cornerstone).
“Long-term services are generally for seniors
with chronic and/or progressive conditions,
such as Parkinson’s disease, a debilitating
stroke, or Alzheimer’s disease and other
forms of dementia.” (Age Care).