Flashcards in 13) Breaking Bad News Deck (15):
What are the 3 patterns of dying?
What are some initial reactions to bad news?
Shock, numbness, disbelief, confusion
What are the 5 stages of the grief model?
What is denial?
Refusal to discuss illness/future
What are the positives of denial?
What are the negatives of denial?
Barrier for good care
Check and review over time
What is bad news?
Any information that dramatically alters a patient's view of the future for the worse
What are the good things about telling someone big news?
May be a relief
Able to treat
Burden lifted from carer
Describe the setting for breaking bad news:
Face to face
Find out who patient wants present
Introduce yourself and not too many people in the room
Describe the patient's perception stage of breaking bad news:
What does patient know already?
'What have you been told so far?'
Describe the invitation stage for breaking bad news:
Invitation from patient to give information
May not want to know everything so respect this
Describe the way in which knowledge should be given when breaking bad news:
Give information in small chunks
Allow time for questions
Describe the empathetic response when breaking bad news:
Acknowledge connection between news and emotion
Listen to concerns
Validate that feeling sad/angry is normal