Week 13: Breaking Bad News Flashcards
1
Q
Define bad news
A
Any information that changes a patients view of the future in a negative way
2
Q
How does the bad news affect the patient, partner and relative?
A
- requires information to make rational choices
- may conflict with fears of illness/the need to maintain hope
3
Q
How does the bad news affect the professional?
A
- fears of admitting ignorance
- being blamed
- producing an emotional reaction
- dealing with a situation for which they have no training
- have failed the patient
4
Q
What is Baile’s 6 step protocol?
A
- setting up the interview
- assessing the patients/relatives perspective
- obtaining the patients/relatives invitation
- giving knowledge and information to the patient
- addressing the patients emotions with empathetic responses
- strategy and summary
5
Q
What is Kays ten step model?
A
- preparation
- what does the patient know
- is more information wanted
- giving a warning shot
- share the news and allow denial
- explain if requested
- listen to concerns
- encourage ventilation of feelings
- summarise
- offer further
6
Q
How do you ensure understanding?
A
- all about preference to receiving information
- use pauses and silence to allow individuals to process information
- asl indidual to explain their understanding of the situation
- all if they have any questions or if there is anything they’d like to ask about
- carefully monitor their non-verbal cues
- give the individual time and space for their emotional reaction
7
Q
How should you respond to awkward questions ?
A
- acknowledge that a persons concern is important
- use sensitive and skilful questioning to identify what real concerns are
- summarise what they have said and clarify their real concerns
- decide on the appropriate response
8
Q
What is blocking?
A
- not listening carefully to what another person is saying
- interrupting
- being judgemental
- belittling patients concerns
- premature or false reassurances
- inappropriate advising
