Wednesday, 6 July 2016

Breaking bad news

Unfortunately, it is part of the job. Everyone will develop their own styles. The following is the guideline I try to follow adopted from John Murtagh's general practice:

1. Plan the consultation, check facts, set aside ample time
2. Meet in an appropriate room with privacy and no interruption
3. Ask the patient if they would like company
4. Make good eye contact and be alert for non-verbal responses
5. Use simple, understandable language
6. Be honest and diplomatically to the point (don't cover up the issue)
7. Allow time, silence, tears or anger
8. Don't give precise predictions about life expectancy


References:
1. John Murtagh General Practice 5th edition

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