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Communication
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Conclusion
Conclusion
Conclusion
Clinicians often have to deliver bad news to patients.
Both delivering and receiving bad news are intrinsically stressful events.
Preparing in advance, carefully setting the stage and crafting an agenda and following the steps described below are helpful.
Typical steps often used in delivery of bad news:
Warning shot : Tell them that you have some unpleasant news for them
Pause : Wait for them to take a deep breath and get ready to hear the bad news.
Deliver bad news:
Use short simple sentences.
Avoid common communication errors studied earlier
Be sensitive and compassionate
Empathic silence: Wait for them to intake and process the bad news.
Answer questions : The bad news will prompt a lot of questions. Answer them patiently
Assure nonabandonment: Inform the patient that you will be coaching them through the next steps
Make follow-up plans: Clearly elucidate the next steps
Debrief and self reflection.
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Communication
Pre-Test
Case Study: Mr. Stranton
Mr. Stanton and Dr. Wiseman:
Scenario 1
Scenario 2
Defining Bad News
Delivering Bad News
Why is Breaking Bad News About Chronic or Serious Life Limiting Illness So Difficult for All Participants?
Examples of Common Clinical Situations that are Emotionally Charged:
Challenges for the Clinician
Breaking bad news is stressful to clinicians:
Preparing to break bad news
Actual delivery of bad news
Phraseology : Do’s and Don’ts
Additional Resources: DNR Discussions
Example Cases
Clinic Example 1
Clinic Example 2
Hospital Example 3
ER Example 4
OR Example 5
Conclusion
Pearls
Resources
Authors
PBS: Letter Project
What-matters-most-letter
Write to your doctor about what matters most to you.
It's free, easy and extremely importantI
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