Main description:

Breaking Bad News provides practical guidance on the key principles needed to create a framework for discussions with the patient

Key Features:

Concise, practical guide
Features a simple 10 step approach
Clear explanations with key phrases for you to use
For doctors, students and healthcare professionals

The ability to impart bad news well is an important skill for all doctors and many healthcare professionals. But it is perceived as a particularly stressful part of the job, even though it is a skill that can easily be understood and practised. When handled well it can significantly enhance the relationship with the patient and their relatives.

10 Simple Steps

The principles are presented as 10 simple steps which emphasise that the process of breaking bad news is a negotiation with the patient to ensure that you provide them with the correct level of information they need at that time. The steps also encourage the patient to talk and think about their situation.

Each of the steps is clearly explained and sample questions and key phrases are provided to help you navigate these discussions effectively and with compassion. If you learn to ask questions of the patient first and then elicit their concerns, you will help them and you will gain their trust.

Contents:

Preface; About the author

Introduction

Why is it important?

Why is it difficult?

How not to do it

Some perceptions of bad news

"Please don't tell"

10 steps in breaking bad news

A model of breaking bad news

Step 1: Preparation

Step 2: What is known?

Step 3: Is more information wanted?

Step 4: Allow denial

Step 5: The warning shot

Step 6: Explain (if requested)

Step 7: Elicit concerns

Step 8: Venting of feelings

Step 9: Summary and plan

Step 10: Offer availability

Follow-up 1: Further explanation

Follow-up 2: Emotional adjustment

Follow-up 3: Meeting relatives

Discussion

Conclusion

Summary

Further reading