Terms in this set (2000)

Setting up the interview: Arrange a private room where you can sit face to face with the patient. Encourage the patient to bring family members for support. Make eye contact during the interview.
Perception: Use the rule, "before you tell, ask." Find out what is the patient's understanding of the situation before launching into an explanation. This allows you to dispel misinformation and identify denial.
Invitation: Because a minority of patients do not want to learn about bad news, ask how the patient would like you to explain the information about the diagnosis.
Give Knowledge and information to the patient: Expressing your own emotions about the bad news can lessen the shock of the news (e.g. "It makes me very sad to have to tell you that..."). Make sure to use non-technical words and avoid being overly blunt.
Address the patient's Emotions with empathic responses: First, identify the emotion the patient is expressing and identify the reason for it (usually this is related to the bad news). Then let the patient know that you understand their emotion (e.g. "I can tell you weren't expecting to hear this." "I imagine this isn't what you wanted to hear.").
Strategy and Summary: Laying out a plan for what will happen next, including how the patient can contact you and when you will see them again, can relieve anxiety and uncertainty for the patient. Summarizing the information and checking for understanding can prevent misunderstandings and avoid either an overly optimistic or pessimistic response by the patient.