Temrinal Illness And Breaking Bad News Flashcards
What are the ‘three main patterns of dying’?
Gradual death
Catastrophic death
Premature death
Define ‘gradual death’
Death with a slow decline in ability and health
Define ‘catastrophic death’
Death through sudden and unexpected events
Define ‘premature death’
Death in children and young adults through accidents or illness
Outline the 5 stages of grief
Denial
Anger
Bargaining
Depression
Acceptance
Define ‘denial’ as a stage of grief
Where the person uses denial to adjust to the fact they are dying without being emotionally overwhelmed.
Define ‘anger’ as a stage of grief
Anger stems from a frustration at dying and is often directed at those closest to the person. Will often ask questions such as ‘why me?’.
Define ‘bargaining’ as a stage of grief
People often try to make a deal with God or medical professionals so they can live, promising good behaviour in return for their life.
Define ‘depression’ as a stage of grief
Often occurs when the person realises that there is nothing that can be done. Often seen as ‘anticipatory grief’ where the person mourns their own death.
Define ‘acceptance’ as a stage of grief
Where the person accepts their death with calmness and peace.
What does denial allow for in the early stages of receiving bad news?
Allows a way to cope with overwhelming information and emotions.
What is it important to do when a patient is exhibiting denial?
Check that they understand, and how much information they want to know.
Respect their desire ‘not to know’
How can help be given to patients in the denial stage of grief?
Offer written information for them to look over with their family
Check and review them over time - when they are ready
Why is it important to deliver bad news appropriately?
It can have an impact on:
- doctor-patient relationship
- emotional well-being of the patient
- adjustment to and ability to cope with the illness, for patients and their relatives
Is ‘bad news’ always bad news?
No
