Watch today’s video to learn

1. About how to break bad news efficiently.

2. Advice on best practice to follow

3. The importance of body language and tone of the voice etc.

I find very useful in these situation to be yourself and deal with lots of empathy and with real love and affection.

There are  2 videos today.

Watch the video 2 first please.

 

Click Here – Breaking Bad News Training Videos : Part 2-of-3 – Patients’ Perspective

Click Here – Breaking Bad News Training Videos : Part 3-of-3 – SPIKES Technique

 

Video: 1

 

Video: 2 – This is part of a video of a Nurse giving a patient bad news.

It corresponds with lessons taught in the Canadian Culture and Communication for Nurses programme.

The nurse must tell a patient, who is returning following a biopsy, that she has been diagnosed with cancer.

 

 

Get the full transcript below.

Click Here – Breaking Bad News Training Videos : Part 2-of-3 – Patients’ Perspective

Click Here – Breaking Bad News Training Videos : Part 3-of-3 – SPIKES Technique

 

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Dr. Hema 

 

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Transcript –  Consultation Skills Tips 

Breaking Bad News Training , Part- 1, Nurse’s Perspective.

Let us see a nurse’s perspective on breaking bad news.

Hi, thank you for joining me.

I am Hema, a family physician in UK and the founder of csasmartgroup.com where we help General Practice registrars to pass their exams with flying colours.

This is part of a video in which a nurse is giving a patient some bad news.

Watch it first please.

It corresponds with lessons taught in the Canadian Culture and Communication for Nurses programme.

The nurse must tell a patient, who is returning following a biopsy, that she has been diagnosed with cancer.

The patient hasn’t spoken to the family physician, as he’s on holiday, so it’s her job to go through the results.

Not all bad news is given by nurses, it may be the physician, but the nurse is usually there to follow up the story and help the patient understand it.

Check with your place of work to see what their policy is.

Notice the body language and empathy of the nurse throughout.

See how she moves closer to go through the pathology report, demonstrating a conciliatory manner.

She doesn’t prevaricate, she alerts the patient to the bottom part of the printout where it gives the diagnosis straight away and shows her where it says she has breast cancer.

It is vital to break the news gently by asking if the patient is ready for this result.

Our job is not only to help the patient understand what the diagnosis means and what the next steps are, but to react to any distress news like this can cause.

It is important to ask the patient if she has anyone with her today or any support nearby when the patient shows signs of distress.

Always be aware of how upsetting the result of a diagnosis can be.

Always make sure the patient is kept in the picture about the next steps.

The main purpose of the first meeting is to inform and then help the patient make the right decision, according to the options.

We have to inform the patient what the doctor and surgeon will be discussing with her and remains open and attentive to any concerns the patient may have during this time.

As for the decision-making process, we have to tell the patient she doesn’t have to make a final choice now and will go through all the options with her either way, so she knows the full story.

Any further information is then presented to help the patient make the most appropriate, informed decision and it is important to keep the patient up-to-date all the way through.

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You are an amazing doctor.

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Dr. Hema