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

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