Presentation on theme: "Breaking Bad News DR.YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM Consultant Family Medicine Associate professor King Khalid University Hospital College of."— Presentation transcript:
Breaking Bad News DR.YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM Consultant Family Medicine Associate professor King Khalid University Hospital College of Medicine King Saud University
Case Scenario During morning clinic, you receive a phone call from the radiologist at your local hospital. A chest x-ray carried out on Mr. Ahmed shows features highly suggestive of lung cancer. You remember that Mr. Ahmed is a 50 year old in your practice area. What problems confront you and how could they be dealt with?
Case scenario 30-year-old lady delivered a baby with down syndrome 8 hours ago. The pediatrician told you as an intern to tell her husband about the diagnosis. What points would you like to consider in discussing this request with him?
Aims: breaking bad news Enhance the psychosocial adaptation of patients and their relatives.
Principles: breaking bad news The most appropriate persons. Details of the patient and all necessary information. What information is to be conveyed and in what order?
Principles: breaking bad news Terminology. Privacy. Appropriate setting Timing.
Principles: breaking bad news Respect and absolute attention. Active listening Empathy Honestly and accurately.
Principles: breaking bad news Check out understanding. Patient reactions Body language. Relaxed, unhurried.
Principles: breaking bad news Explanatory leaflets. Avoid unnecessary distress and minimize misunderstanding. Avoid overload patient with information. Summarize the information.
Principles: breaking bad news Questions. Support. Early follow up. Time for your own felling.
conclusion عن أبي يحي صهيب بن سنان رضي الله عنه قال: قال رسول الله صلى الله عليه وسلم: (( عجبا لأمر المؤمن إن أمره كله له خير وليس ذلك إلا للمؤمن: إن أصابته سراء شكر فكان خيرا له، وإن أصابته ضراء صبر فكان خيرا له)) رواه مسلم