Learn more on our RCA course. www.pennine-gp.... Two common BBN situations requiring different approaches to the consultation. Have a look at our CSA cases and practice BBN in your CSA groups www.pennine-gp......
Not expecting bad news or little anxiety around a result
Welcome the patient
Start with the usual open question
Find out why the test was organised
What was said at the time of the test
What has happened since
Find out about them as a person
The warning shot
PAUSE - do not talk until after they do
Succinctly deliver the bad news
PAUSE - do not talk until after they do
Allow time for emotion
Show empathy
Allow time for the bad news ‘to sink in’
Answer any questions they may have, as best you can
Explore SPICE and what happens next
Agree what you and the patient may need to do before review
Arrange review (soon)
Summarise before they go
Very anxious about a result
Welcome
Cue led approach to the opening statement
Patient anxiety around an anticipated result can paralyse the consultation - there will be verbal and non-verbal cues
You need a different approach
You cannot draw out the consultation asking all the background questions
Explain "I can see you are very anxious about the result. Normally I would find out about what lead up to the test and what happened next and find out about you. But I can see you are really worried. Let me give you the result and we can sort that out afterwards."
The warning shot
PAUSE - do not talk until after they do
Succinctly deliver the bad news
PAUSE - do not talk until after they do
Allow time for emotion
Show empathy
Ask any background questions (SPICE)
Agree what you and the patient may need to do before review
Arrange review (soon)
Summarise before they go
Category
Education
Негізгі бет CSA / RCA Flanagan's two approaches to breaking bad news (in brief)
Пікірлер: 4