BAD NEWS, DV, ECT

Question 1

Communicating Bad News

Answer 1

Prepare
Set the Stage
Tell The News
Emotional Support
Information
Continue/Close Interview

Question 2

IVP/DV

Answer 2

Intimate partner violence:

Child, elder, sibling, dependents, spouse

Question 3

Cycle escalation and types of abuse

Answer 3

-Pattern, escalation, intermittent, chronic

• Emotional
• Intimidation
• Isolation
• Economic
• Threats
• Physical/Sexual

Question 4

People Missed

Answer 4

Men
Seniors
Homeless
Substance abusers
Unfamiliar cultures
Developmentally delayed
LGBT
Somatic complaints 
Ppl not injured

Question 5

SAFE Questions

Answer 5

S- safety, stress: Safe in home now? Stresses your dealing with?
A- afraid/abused: are you afraid? Of who? Afraid for children?
F-Friends,family: do they know?>
E-Emergency plan: somewhere to go? Someone to call?

Question 6

Stereotype

Answer 6

Assume a persons characteristic based on conscious or unconscious beliefs about a group to which they are presumed to belong

• based on personal experience
• no attempt is made to learn if the individual fits the category
• automatically activated

Question 7

Generalization

Answer 7

Mental shortcut

Based on common trends in beliefs and behaviors of groups

Question 8

Disease

Answer 8

Abnormalities of structures and/or function of body organs and systems (physical and mental disorders); defined by cultural constructs

Question 9

Illness

Answer 9

Patients and/or family’s personal definition and experiences of ill health

Question 10

LEARN

Answer 10

L-Listen w/ sympathy and understanding to pt’s perception
E-explain your perceptions, concerns, and reasons for asking ?’s
A-acknowledge pt’s concerns, discuss differences and similarities
R-recommend a course of action
N- negotiate agreement that takes into consideration your pts’ norms and lifestyle

Question 11

RESPECT

Answer 11

R-Rapport: Connect on a social level, suspend judgement, no assumptions
E-empathy:seek to understand bhx/illness, acknowledge feelings
S-support:ask about barriers,help overcome barriers,involve family, reassure availability to help
P-partnership:be flexible with control issues, negotiate roles
C-cultural competencies:respect culture beliefs, beware of bias, know limits
T-Trust:self disclosure,maybe an issue for some pts who are not accustomed to western med, establish trust