Breaking bad news and discussing death

被引：34

作者：

Ambuel, B ^{[1
]}

Mazzone, MF ^{[1
]}

机构：

[1] Med Coll Wisconsin, Dept Family & Community Med, Waukesha, WI 53188 USA

来源：

PRIMARY CARE | 2001年 / 28卷 / 02期

关键词：

D O I：

10.1016/S0095-4543(05)70021-X

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The ability to discuss bad news with a patient and family is one clinical skill that is essential to providing effective end-of-life care. Patients and families value direct, nontechnical explanations that are given by a physician with compassion and kindness. Patients and families also value time to talk, express their feelings and ask questions. The authors review research on delivering bad news, then describe a six step process to guide physicians in discussing bad news with patients: (1) create an appropriate environment; (2) open the meeting; (3) discuss the news; (4) develop a follow-up plan; (5) document the conference; and (6) engage in self-reflection.

引用

页码：249 / +

页数：20

共 43 条

[1]

AMBUEL B, 2000, IMPROVING END LIFE C, P165

[2]

[Anonymous], 1992, Psycho-oncology

[3]

BLACKHALL JL, 1995, JAMA-J AM MED ASSOC, V284, P820

[4]

Bruera E, 1999, CANCER-AM CANCER SOC, V86, P2420, DOI 10.1002/(SICI)1097-0142(19991201)86:11<2420::AID-CNCR33>3.0.CO

[5]

2-O

[6]

Buckman R., 1992, BREAK BAD NEWS GUIDE

[7] PATIENT PARTICIPATION IN THE CANCER CONSULTATION - EVALUATION OF A QUESTION PROMPT SHEET [J].

BUTOW, PN ;

DUNN, SM ;

TATTERSALL, MHN ;

JONES, QJ .

ANNALS OF ONCOLOGY, 1994, 5 (03) :199-204

[8] Communication and decision-making in seriously ill patients: Findings of the SUPPORT project [J].

Covinsky, KE ;

Fuller, JD ;

Yaffe, K ;

Johnston, CB ;

Hamel, MB ;

Lynn, J ;

Teno, JM ;

Phillips, RS .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (05) :S187-S193

[9] Why don't patients and physicians talk about end-of-life care?: Barriers to communication for patients with acquired immunodeficiency syndrome and their primary care clinicians [J].

Curtis, JR ;

Patrick, DL ;

Caldwell, ES ;

Collier, AC .

ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (11) :1690-1696

[10] LETTERS TO PATIENTS - IMPROVING COMMUNICATION IN CANCER CARE [J].

DAMIAN, D ;

TATTERSALL, MHN .

LANCET, 1991, 338 (8772) :923-925

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