Breaking bad news

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Tess Jose

bad news ppt

Health & Medicine

BREAKING BAD NEWS
TESS JOSE
INTERN
GENERAL SURGERY

What is BAD news??
“...any news that drastically and negatively alters
the patients view of future....”

What are we worried about??
• Damage of reputation
• Facing questions of relatives
• Fear of mob violence
• Handling police enquiry
• Medicolegal issues (court,case, arrest….)
• Compensation amount

....In clinical practice
• Initial diagnosis of a serious life limiting / chronic life altering
illness
• Giving prognosis in a serious life limiting illness
• DNR discussions
• Death pronouncement
• Organ donation discussions
• .......Very few examples...

Challenges we face??
• Lack of:
Guidelines
Training
Experience

Kübler-Ross model
• “DABDA”
• Denial –doctor is wrong!!!
• Anger- why me??
• Bargaining-
• Depression
• Acceptance

CONCLUSION
• Breaking bad news is a complex and sensitive
task which requires practice and a considered,
tactful approach.
• A BAD NEWS CANNOT BE CONVERTED TO
GOOD NEWS

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