How Do I Give Bad News? c/o HospiceFoundation.ie
individual
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INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group-population
Level of knowledge and understanding empathy and rapport self-care Losses ... many forms ... shattered hopes, dreams, aspirations patient's reaction - anger, anxiety, blame, shock, helplessness, misinterpretation Acknowledge reaction diffusing anger... Respect denial of bad news awareness - understanding vulnerability It is good to use non-verbal cues to convey warmth, sympathy, encouragement or reassurance to the patient. p.10. Bad news = information that affects the individual's identity - very existence - | Correct patient and family Plans to give - convey bad news - Multidisciplinary Team informed Records Telephone Bad news = information that affects the individual's future When to inform? As soon as information is known. Ensure environment - time protected, no interruptions, mobile phones ... At bedside, curtains closed, eye-level, volume of voice, deafness? Proceed at person's pace Give information in chunks Be prepared to 'fire warning shot' - 'telegraph' what may follow Diagnosis FUTURE prognosis Time and 'space' often need to be created and then protected (respected) |
| or that of a loved one. shock of others - family and risk of being overheard awareness - understanding social support strengths Shared resilience with acceptance A standard to use: If the person was my relative would I have been happy with how the news was given? p.6. How Do I Give Bad News? CULTURE & LANGUAGE INTERPRETER SERVICES |
Sick child? p.16.
Sudden death? p.20.
Age of consent - 16 years old - 18?
Right to:
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Source:
http://hospicefoundation.ie
http://hospicefoundation.ie/wp-content/uploads/2013/04/How-Do-I-Break-Bad-News.pdf
orcid.org/0000-0002-0192-8965
