Breaking bad news and discussing death

Ambuel, Bruce; Mazzone, Michael

doi:10.1016/s0095-4543(05)70021-x

Cited by 40 publications

(21 citation statements)

References 34 publications

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“…-Mantener el optimismo del paciente: promover el optimismo del paciente 35,40 , el cual puede ser un poderoso predictor de adaptación y recuperación 41 aunque debe ser balanceado con honestidad y realismo 39,40 . -Minimizar el discomfort del profesional de la salud: el objetivo final del profesional de la salud debe ser minimizar su propio discomfort con la tarea, el cual puede resultar en miedo a la reacción al paciente, a sus propias emociones, a su falta de competencia o miedo a ser cul-pado 42 . Reducir este discomfort puede influir sobre el bienestar emocional, satisfacción y competencia del profesional de la salud con la entrega de malas noticias 43 .…”

Section: Habilidades Comunicacionalesunclassified

Entrega de malas noticias en la práctica clínica

Herrera

Ríos²,

Manríquez³

et al. 2014

Rev. méd. Chile

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Section: Habilidades Comunicacionalesunclassified

Entrega de malas noticias en la práctica clínica

Herrera

Ríos²,

Manríquez³

et al. 2014

Rev. méd. Chile

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“…1 The ALS Practice Parameter, based significantly upon previous literature, recommended that the process of breaking the news be informative but respectful of patient rights, feelings and concerns. [4][5][6][7][8][9][10][11][12] The parameters suggest that when informing a patient of a dire diagnosis it should be done face to face, with sensitivity, without rushing, in a quiet and private setting, with minimal chance for interruption. Optimally, the patient's support network should be present.…”

Section: Introductionmentioning

confidence: 99%

Breaking the news: A survey of ALS patients and their caregivers

McCluskey

Casarett

Siderowf³

2004

Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders

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Breaking the news of the diagnosis of amyotrophic lateral sclerosis (ALS) is a formidable task. To evaluate the process from the perspective of patients and caregivers, we surveyed 94 patient-caregiver pairs, as well as 50 unpaired patients and 19 unpaired caregivers. We asked respondents to evaluate the physician who first broke the news of the diagnosis based on the time spent discussing the diagnosis, and six attributes of effective communication of bad news derived from the SPIKES protocol (setting, perception, invitation, knowledge, empathy, strategy). Fifty-six percent of patients rated the way the physician who broke the news as average (30.7), below average (8.6) or poor (16.4). Forty-eight percent of caregivers rated the physician as poor (14.4), below average (4.8) or average (28.8). Better performance on all attributes of effective communication as well as greater time spent discussing the diagnosis was correlated with higher patient/caregiver satisfaction. Our results suggest that there is room for improvement in breaking the news of the diagnosis of ALS. Greater adherence to certain attributes of effective communication of bad news may improve the way physicians perform this difficult task.

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“…Zudem wirken sich die Arbeitsbedingungen in den Kliniken mit erheblichen Arbeitszeitbelastungen, permanenter Zeitknappheit, Stellensperren und unzeitgemäßer steiler hierarchischer Strukturen ebenfalls nicht als empathiestiftend aus [13]. Insbesondere der Arzt in der onkologischen Chirurgie ist häufig gefordert, wenn er dem Patienten die Karzinomdiagnose oder eine schlechte Botschaft überbringen muss [1,29]. Gleichzeitig ist bekannt, dass die Kommunikation mit Patienten, die eine schwere Erkrankung haben, den Ärzten eher schwer fällt [8].…”

Section: Wie Viel Empathie Sollte Ein Chirurgisch Tätiger Arzt Haben?unclassified

“…Auf Seiten der Patienten geht eine Tumorerkrankung häu-fig mit einer hohen psychischen Belastung einher [4,20,30]. Gleichzeitig sind Mediziner häufig gefordert, schlechte Botschaften zu überbringen [1,29]. Der Bedeutung der Empathie steht jedoch ein großer Mangel empirischer Untersuchungen gegenüber [9].…”

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Empathie in der Chirurgie

Burghofer

Lackner

Jauch

2007

Chirurg

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Even though the importance of empathy for a good physician-patient-relationship is consistently emphasized, there are only a few empirical investigations. In this study the empathy of surgeons was evaluated by asking them to put themselves in the preoperative situation of a patient with a rectal carcinoma. They should state the quality of life from the patient's point of view using the EORTC-QLQ-C30. As a second step the assumed postoperative quality of life of the patients at the point of their discharge from hospital was evaluated. The data collected from the surgeons were compared with the results of a prospective longitudinal analysis of the quality of life of rectal carcinoma patients. As well the preoperative situation of the patients as their situation before discharge from hospital were evaluated more negatively by the surgeons than by the patients themselves. The doctors assumed much more problems and especially a deeper negative impact on the social and emotional acting of the patients. The surgeons and additionally questioned non-medical staff members did not differ in their results, just as the period of employment had no significant influence on the outcome. Accordingly to the results it can be deduced that the patients felt better than the doctors assumed, so that we can advise the surgeons to intensify the empathy in their patients' perception. Therefore, new course curricula should be developed to train the non-technical-skills of health professionals.

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Breaking bad news and discussing death

Cited by 40 publications

References 34 publications

Entrega de malas noticias en la práctica clínica

Entrega de malas noticias en la práctica clínica

Breaking the news: A survey of ALS patients and their caregivers

Empathie in der Chirurgie

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