- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal - one day). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Sunday, July 16, 2017

How Do I Give Bad News? c/o HospiceFoundation.ie

humanistic -------------------------------------------  mechanistic

Level of knowledge and understanding

empathy and rapport
Losses ... many forms ...
shattered hopes, dreams, aspirations

patient's reaction -
anger, anxiety, blame, shock,
helplessness, misinterpretation

Acknowledge reaction
diffusing anger...
Respect denial of bad news

awareness - understanding


It is good to use non-verbal cues to
 convey warmth, sympathy, 
encouragement or reassurance 
to the patient. p.10.

Bad news = information that
affects the individual's
identity - very existence - 
Correct patient and family

Plans to give - convey bad news -
Multidisciplinary Team informed

Bad news = information that affects the individual's future

When to inform?
As soon as information is known.

Ensure environment - time protected, no interruptions, mobile phones ...
At bedside, curtains closed, eye-level, volume of voice, deafness?

Proceed at person's pace
Give information in chunks

Be prepared to 'fire warning shot' -
'telegraph' what may follow

Diagnosis FUTURE prognosis
Time and 'space' often need to be
created and then protected (respected)
or that of a loved one.

shock of others -
family and risk of being overheard
awareness - understanding

social support strengths

Shared resilience with acceptance

A standard to use:
If the person was my relative would I
 have been happy with how the
 news was given? p.6.

How Do I Give Bad News?


Sick child? p.16.

Sudden death? p.20.

Age of consent - 16 years old - 18?

Right to:
  • accurate and true information
  • receive or not receive information
  • decide how much information
  • decide who should be present at consultations
  • decide who should be informed about their diagnosis and what information they should receive
Under no circumstances should you hand over personal belongings in a plastic bag. p.23.


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