This e-learning guide teaches trainees how to effectively break bad news to patients. It discusses that breaking bad news is a complex communication skill that requires additional training. The guide outlines strategies for preparing, sharing information, and showing empathy when delivering bad news, and stresses the importance of planning follow-up support. Trainees are instructed to practice applying these strategies through formative tasks.
There is an evident deficiency on how best to break bad news in medicine. This is an essential communication skill that our patients expect of us. It is an essential requisite of Good Medical Practice. This presentation is part of a course held at Al Hammadi Hospital, Suwaidi, Riyadh, KSA on Breaking Bad News. 2017
There is an evident deficiency on how best to break bad news in medicine. This is an essential communication skill that our patients expect of us. It is an essential requisite of Good Medical Practice. This presentation is part of a course held at Al Hammadi Hospital, Suwaidi, Riyadh, KSA on Breaking Bad News. 2017
BBN - Breaking Bad News is difficult task for Junior doctors in India as it was not in the Curriculum unlike Western countries. So this slide will give you the Facts / Methods with Description of one method & Key points.
A talk I gave in Al-Zaem Al-Azhary university on Thursday, 15/5/2014
Outline:
What do we mean by breaking bad news (BBN)?
Which news is bad? really bad? Like really, really bad !
Why should we care about BBN?
Ethical
Professional
Legal
BBN as part of the Communication Cycle/Pathway
Practical approaches to BBN:
SPIKES
ABCDE
BREAKS
The Do Not's in BBN
Last semester's lecture on truth telling and breaking bad news to patients. It was presented by Dr Ghaiath Hussein for Farabi Medical College medical students.
Dealing with angry patients and family memberspadma puppala
Angry patients can evoke fight or flight responses in medical professionals. Inability to diffuse situation in a professional manner can lead to disastrous consequences. Here are few tips to effectively diffuse the situation
BBN - Breaking Bad News is difficult task for Junior doctors in India as it was not in the Curriculum unlike Western countries. So this slide will give you the Facts / Methods with Description of one method & Key points.
A talk I gave in Al-Zaem Al-Azhary university on Thursday, 15/5/2014
Outline:
What do we mean by breaking bad news (BBN)?
Which news is bad? really bad? Like really, really bad !
Why should we care about BBN?
Ethical
Professional
Legal
BBN as part of the Communication Cycle/Pathway
Practical approaches to BBN:
SPIKES
ABCDE
BREAKS
The Do Not's in BBN
Last semester's lecture on truth telling and breaking bad news to patients. It was presented by Dr Ghaiath Hussein for Farabi Medical College medical students.
Dealing with angry patients and family memberspadma puppala
Angry patients can evoke fight or flight responses in medical professionals. Inability to diffuse situation in a professional manner can lead to disastrous consequences. Here are few tips to effectively diffuse the situation
Conflict in healthcare is a mutual problem. Health care providers, like nurses and doctors, are tangled in this. This demonstration contains Reasons for conflict in health care, Results of the conflict Ways to solve these entire problems.
Competition or Collaboration - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
THE SEVEN C’S IN NURSE/PHYSICIAN RELATIONSHIP - By Joyce Asaborstuber111
Joyce Asabor, a registered nurse from NY has prepared a presentation on the Seven C's in Nurse/Physician Relationship which she identified as key to successful interaction in improving patient experience in any health care setting. She has more than 10 years of experience in heathcare industry. The main objective of this workshop is to recognize the problem, recognize the need to correct and change the mind set of health care professionals so that they can be more open to new ideas. Also to recognize the essence of a healthy work environment and reduce stress in order to increase productivity.
Communication: Empathy and How To Give Bad News -Journal Article and Discussionflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
And the good news is? How to communicate bad news in the right wayBlythe Campbell
Bad communication about bad news can be really bad for your organization. Learn why bad news is so "sticky" and how to use a simple six-step process to communicate bad news the right way.
This is a summary of the protocols to be followed when communicating bad news to clients and/or their immediate relatives. Helps alley anxiety and minimize risks of Post-traumatic stress disorders (PTSD)
Also help maintain a professional therapeutic communication and relationship skills.
BREAKS, SPIKES,ABCDE among other protocols are enlisted and described therein. It concludes with a reminder of the role of a nurse in embracing empathy.
The Profile4-year-old biracial male living with his grandmother lourapoupheq
The Profile
4-year-old biracial male living with his grandmother in a high-density public housing complex.
Discussion
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion.
Note
: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
How would your communication and interview techniques for building a health history differ with each patient?
How might you target your questions for building a health history based on the patient’s social determinants of health?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Select
one
of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the
Seidel's Guide to Physical Examination
text, or another tool with which you are familiar, related to your selected patient.
Develop
at least five
targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
By Day 3 of Week 1
Post
a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.
Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to Discussion Question" link, and then select "Create Thread" to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on
Submit!
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond
to
at least two
of your colleagues
on 2 differe ...
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2. Who is it aimed
"Breaking Bad News“ It is a mandatory e learning guide
for foundation trainees. It is an e learning resource for
the trainees to help them prepare to deliver bad news
to patients and their families.
3. Objectives
By the end of the tutorial,students should understand—
What is bad news.
Why breaking bad news is a skill.
why do we need additional training.
To learn the strategy .
4. What is bad news
Bad news can mean different things to different people.
Can be defined as any information that
adversely affects an individuals view of future
carries a feeling of no hope or a threat to a person's
mental or physical well-being
risks upsetting an established lifestyle
conveys to an individual fewer choices in his or her
life. ref
5. Examples include
A patient is diagnosed HIV positive.
The patient who has been diagnosed with cancer.
The couple who are told they cannot have children.
The common denominator is that bad news is a
message, which has the potential to shatter hopes
leading to very different lifestyles.
6. Formative task
Reflect on the challenges that you might face while
breaking bad news.
Upload this task on blackboard
7. Formative task
Reflect on the strategies you need to have prior to
breaking bad news.
Upload this task on blackboard
8. Why is it a skill?
Breaking bad news is never a pleasant task.
Doing it in wrong way or at the wrong time can be
even worse.
It is just as hard for the person breaking the bad news
as it is for the person receiving it.
9. Why additional training
It is a complex communication task.
Involves using verbal and non verbal skills.
If bad news is delivered poorly, can have a long lasting
impact in addition to the shock of bad news.
When staff are uncomfortable to deliver bad news, can
lead to conveying unwarranted optimism.
10. Strategies
Preparing for the interview
Go through the records and know the clinical situation
Work through your own reaction to the news
Give thought to how you would approach the delivery of bad news
Think and practice what you are going to say.
Assess your role and the level of information that you can give.
Have the necessary information you need regarding the diagnosis and
treatment and support the patient needs thereafter.
11. Strategies- Contd-
Choose an appropriate place.
Choose the right time
allow enough time for the interview
Invite spouse, friend or relative as appropriate
12. Interview
Communication
Start off with a sentence which will suggest the news is
going to be a bad one.
Get to the point and do need beat round the bush.
Use simple words, avoid jargon, be as clear as possible
Be honest
Give information in small chunks
Watch the pace
13. Show Empathy
Read the body language for non verbal clues- tears,
silences
Encourage expression of feelings
Allow time for questions
Check understanding of information given
14. Dealing with situation afterwards
Planning and support
Identify further plan
Give broad time frame for what may lay ahead
Emphasize quality of life
Identify support system
15. Summary
Preparing for the interview
Sharing the information
Showing empathy
Planning and support
16. References
Buckman R. (1992) Breaking Bad News: A Guide for Health Care Professionals.
Baltimore: Johns Hopkins University Press.
Bor R, Miller R, Goldman E, Scher I. (1993) The Meaning of Bad News in HIV Disease:
counselling about dreaded issues revisited. Counsel Psychol Q. 6:69-80
Maguire P (1985) Barriers of Psychological Care to the Dying.
British Medical Journal 291:1711-1713
Ptacek JT, Eberhardt TL. (1996) Breaking Bad News. A Review of Literature. JAMA 276:
496-502
Baile W, Buckman R. et al. (2000) SPIKES- A Six Step Protocol for Delivering Bad News:
Application to the Patient with Cancer. The Oncologist 5:302-311
