6 STEP PROTOCOL Getting started What does the patient know? How much does the patient want to know? Sharing the information Responding to patient and family feelings Planning and follow up Taken from ‘ How to Break Bad News: A Guide for Health Care Professionals’ by Robert Buckman
RESPONSIBILTY OF COMMUNICATING DEATH I t is the responsibility of the physician who has been treating the patient and this responsibility should not be delegated to anyone else unless absolutely necessary. WHEN IS THE ‘RIGHT’ TIME? There is no such thing as the ‘perfect’ moment.Try to break it down gently . Do not be in a hurry or abrupt.
Families of mutilated patients should be warned
Viewing can done individually or in a group privately
If patient is a child, wrap in blanket and give parents opportunity to hold child
CONCLUDING THE PROCESS Effective communication continues beyond this as there are a few issues left to be dealt with by the family. The family members should be encouraged to contact the doctor if any queries arise.