Breaking Bad News DR.YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM Consultant Family Medicine Associate professor King Khalid University Hospital College of.

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Adapted from work by Celia Roberts Professor of Linguistics at Kings College, London.

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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

مع تمنياتي لكم بالتوفيق

Practical and Role play Two volunteer student Scenario Role play discussion