From witnessing senior colleagues break bad news multiple times and being the same situation myself multiple times, I have found that knowing your patients and connecting with them o a personal level and not a standard approach makes a difference to the patients experience and their relatives experience.
Receiving criticism 3. I rarely have met these people before and lack all the experiences and sign posts that define the boundaries of a relationship, essential aspects when discussing sensitive topics. It is difficult sometimes when shadowing (the minority of) doctors and a patient is treated in an offhand or cold manner. Long before I studied medicine I understood that he was interested in patients' lives, their work, their families, their hobbies. Material from skillsyouneed.com may not be sold, or published for profit in any form without express written permission from skillsyouneed.com. Copyright © 2020 BMJ Publishing Group Ltd 京ICP备15042040号-3, professor of animal welfare, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Saying “no” Make sure you have your facts straight before you begin, know what you are going to say and why you are going to say it. Try to anticipate any questions or concerns others may have and think carefully about how you will answer questions. Although the principles of empathy ad compassion are the same among medical professionals, each individual doctor has there own personal touch. My late father was in primary care in two countries for 5 decades. You can download a PDF version for your personal record. Thanks for sharing such useful info with us. Many managers tell us that the job is easy; it is people that make it hard. I have frequently been the recipient of bad news since I was diagnosed with colonic cancer in 2012 and the position has given me ample opportunity to give marks out of ten to the several physicians and handful of surgeons I have seen. Speak clearly avoiding any jargon that other parties may not understand, give eye contact and try to sit or stand in a relaxed way. Do not use confrontational language or body language. As I have advancing metastatic disease, there have been no opportunities for good news - just different shades of bad news. But most of all, we need to consider how we would wish to be addressed in similar circumstances. I have found that in specialities were the patient is known to the department for months or years this is done much better. Carrying out these simple tasks creates a basis for a genuine and much more 'friendly' relationship.
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