Breaking bad news to cancer patients

Download Breaking bad news to cancer patients

Post on 13-Jan-2017

206 views

Category:

Healthcare

1 download

TRANSCRIPT

PowerPoint Presentation

Breaking Bad News to Cancer Patients Dr. Ahmed Al Ibraheemi

CommunicationFrom Latin commnicre, meaning Which Is the purposeful activity of information exchange between two or more participants in order to convey or receive the intended meanings through a shared system of signs and semiotic rules. "to share

Effective Communication Skills Enable Health care provider :

To Improve patients understanding of their illnesses,To Improve patient adherence to treatment regimens,To use time efficiently,To Avoid burnout, and increase professional fulfillment.

Five Stars Health Care Provider

Care Giver Decision MakerManager Good Communicator Community leader

Why Communication with cancer patients is complex Because it needs skills in

What is bad news

6

Bad news may be defined as : Any information which adversely and seriously affects an individuals view of his or her future

WHY BREAKING BAD NEWS IS IMPORTANT?Oncologists give bad news thousands of times during the course of a career and it can be highly stressful.Breaking bad news to cancer patients is inherently aversive, described as hitting the patient over the head or dropping a bomb

Breaking bad news can be particularly stressful when the clinician is inexperienced, the patient is young, or there are limited prospects for successful treatment

PSYCHOLOGICAL REACTIONS TO BEING GIVEN A CANCER DIAGNOSIS

Phase One

Phase 2 Insomnia AnxietyDecreased concentration.Loss of appetite Depression

Phase Three

WHAT ARE THE BARRIERS TO BREAKING BAD NEWS?ASCO survey identified several barriers to break bad news.

Goals of the Bad News Interview

A SIX-STEP STRATEGY FOR BREAKING BAD NEWSSPIKES

S SETTING UP the Interview

PASSESSING THE PATIENTSPERCEPTION

IOBTAINING THE PATIENTSINVITATIONWhile a majority of patients express a desire for full information about their diagnosis, prognosis, and details of their illness, some patients do not.

KGIVING KNOWLEDGE ANDINFORMATION TO THE PATIENT

EADDRESSING THE PATIENTSEMOTIONS WITH EMPATHIC RESPONSESAn empathic response consists of four steps:

SSTRATEGY AND SUMMARY

Behaviours to AvoidBlocking occurs when a patient raises a concern, but the physician either fails to respond or redirects the conversation.

1. Blocking

Behaviours to Avoid Role play

Behaviours to AvoidLecturing occurs when a physician delivers a large chunk of information without giving the patient a chance to respond or ask questions.

2. Lecturing

Behaviours to Avoid Role play

Behaviours to AvoidCollusion occurs when patients hesitate to bring up difficult topics and their physicians do not ask them specificallya dont ask, dont tell situation.

3. Collusion

Behaviours to Avoid Role play

Behaviours to AvoidPremature reassurance occurs when a physician responds to a patient concern with reassurance before exploring and understanding the concern.

Premature Reassurance

Behaviours to Avoid Role play

Behaviours to AvoidUnderstanding the patients perspective will result in physicians discovering more about the thoughts and feelings patients are experiencing.

Bad Respond to Emotion

Behaviours to Avoid Role play

Behaviours to CultivateIf you find that the conversation is going off track, it is helpful to note that in your own mind.

Tell Me More

Behaviours to CultivateThis principle is based on the notion that education requires knowing what the learner already knows, then building on that knowledge.

AskTellAsk

Questions

Thank You