Breaking bad news: talking about death and dying
2005; Elsevier BV; Volume: 33; Issue: 2 Linguagem: Inglês
10.1383/medc.33.2.29.58387
ISSN1878-9390
Autores Tópico(s)Empathy and Medical Education
ResumoAbstract Most patients want to know the nature of their disease and the likely treatments, side-effects and prognosis. Those who do not wish to know such details often include the elderly, those with a poor prognosis, and individuals from deprived areas. The extent to which patients perceive the information given them as adequate for their needs has been linked to psychological adjustment. Patients who feel they received too much or too little information are more likely to develop a major depressive or generalized anxiety disorder within the next year. The principles of breaking bad news to patients with a poor prognosis include checking their existing awareness, eliciting their concerns before and after being given the news, and checking their needs for information and responding appropriately.
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