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Contents
?
What is meant by bad news#
The old concept regarding disclosure of bad#
?news
?
Who breaks bad news#
Protocol for breaking bad news
#Examples#
Sonographer and breaking bad news#
Problems to solve#
Getting started-1
Finding out how much the patient -2
.knows
Finding out how much the patient- 3
. wants to know
Sharing the information- 4
Responding to the patients - 5
feelings
Planning and follow-through- 6
Getting started
?"How are you feeling right now
Responding to the
patients feelings
Could you tell me a bit about what you)"
"(. ?are feeling
...
SPIKES
S etting up
P erception
I nvitation
K nowledge
E motions
S trategy and summary
Examples
: Helpful phrases and questions are
I wish I had better news" (as opposed to "
, "I'm sorry, I have bad news")
," I admire your courage "
," I will be here for you "
?" What gives you hope and strength"
Thinking Point
Individuals remember different things
.following bad news interviews
:For example
The doctor was very kind to me when she
,told me I had cancer
but I dont remember any thing of what she
,said to me on that day
.I just remember she was very kind
When I was told that I had cancer, I felt
my whole world collapse
.around me
Sonographer and
breaking the bad news
Until recently sonographers have been
constrained by the medical
profession when they are first told
.that they have a serious diagnosis
Problems to
solve with
Hind and
Wisam
Finally
it is obvious that acquiring the skill of
breaking bad news greatly required
because 'How a physician delivers bad
news may affect patients' understanding
of and adjustment to the news as well as
their satisfaction with their physician
The limits of medicine assure that patients
cannot always be cured. These are
precisely the times that professionalism
most acutely calls the physician to provide,
hope and healing for the patient