Receiving Bad News Analysis

Superior Essays
As determined by Orgel, McCarter, & Jacobs (2010), many health care professionals do not feel confident that they have the necessary knowledge of communication techniques to deliver bad news to patients. In their study, pediatric residents, fellows, and attendings responded to questions regarding comfort level and knowledge level in disclosing distressing news in the medical field. Of the participants, 75% of the residents, 60% of the fellows, and 40% of the attendings assessed that their knowledge level was insufficient. In contrast, 85% of fellows and 94% of attendings felt comfortable delivering the bad news. Even though there is a lack of knowledge of these communication skills, comfort in giving the news increases with training level, …show more content…
When a patient or their family receives distressing news in a medical setting, it can influence how they view the medical field for a long time after the exchange. In fact, how bad news is received depends on the expectations of the receiver, their previous experiences with the medical field, and their general personality. Because of this, it is often difficult to predict how a patient will react to a medical diagnosis. Still, if distressing news is communicated in an effective and supportive manner, it can help with the patient’s understanding, acceptance, and adjustment. But when given poorly, it can result in distress, confusion, and resentment (Fallowfield, 2004). A patient’s dissatisfaction in the delivery of bad news could be the result of a physician’s distant or cold attitude, their overuse of medical terminology, their pessimism, or not providing information or referrals (Chisholm, 1997). But by following current guidelines, physicians can avoid these common pitfalls and promote a more positive experience for both …show more content…
One of which details an in utero diagnosis, and the other describes a diagnosis after delivery. Education about informed consent, screening tests for Down syndrome, and nondirective counseling is provided for the prenatal diagnosis section of this tutorial. And information about breast-feeding and nutrition, the characteristics of Down syndrome, recurrence data, and support group information is detailed for the postnatal diagnosis portion. In both cases, the tutorial delivers key information on how to prepare to give this information to new and prospective parents. The Brighter Tomorrows tool also provides resources for new and established physicians so that they can further educate themselves on this

Related Documents

  • Improved Essays

    Nt1330 Unit 3

    • 781 Words
    • 4 Pages

    Describe the responsibility of the medical office specialist to protect all protected health information (PHI). When it comes to protecting patient information, it’s about getting employees to understand how to best protect it and what to do if there is a data breach. Training is essential and should include not only administrative employees, like medical office specialist, but also doctors, nurses, and other clinicians throughout the organization. All employees with access to patient information need to have the understanding of how to maintain security protocols when it comes to patient care. Many clinicians tend to look at PHI breaches as simply an IT issue.…

    • 781 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Denial is a way for a majority of people to cope. Physicians as well as family should respect and acknowledge that a patient requires support and comfort during such a time. However, the doctors in Mary’s case rushed to conclude her reactions where due to incompetency without proper…

    • 815 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Assess the potential difficulties of partnership working in HSC? • Poor Communication: Patients’ perceptions of the quality of the healthcare they received are highly dependent on the quality of the interactions of their healthcare clinician and team. Health care workers today acknowledge that poor communication is perhaps one of the most prevalent problems in hospitals or Health and Social care settings. Poor communication, tends to evolve out of the inevitable and irreversible hierarchy of power within hospitals, within in the society of professionals that are supposed work together for the betterment of the environment and patients.…

    • 584 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Down Syndrome How does Down Syndrome affect the one who has it and the family around them? Down syndrome is a genetic birth disorder that can cause intellectual and physical disabilities. There are three types of Down Syndrome, all of which the symptoms and physical features are similar. Although the severity can be different depending on the child. Along with these types of Down Syndrome can come various health issues.…

    • 1829 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    The Health Care Professional’s Effect on the Psychological Health of a Trauma Patient “It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” – Sir William Osler. This quote alludes to the idea the knowing your patient is as important that treating the disease alone. Is it possible that the positive or negative communication and attitudes of nurses, doctors, and surgeons given charge over a patient, alter the prognosis of that patient’s health? And if so, is the difference in patient outcome large enough to make the medical community change the amount of education in psychology that medical students receive.…

    • 1108 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Trisomy 21

    • 1700 Words
    • 7 Pages

    Although Down syndrome is used as a general term, several forms of this syndrome exist. Trisomy 21 is considered one of the most common genetic chromosomal disorders in the world. This year alone, approximately 6000 children within the United States will be born with this genetic disorder. Trisomy 21, also known as Down syndrome is defined as a set of physical and mental traits caused by an abnormal gene mutation that happens before birth. This genetic disorder varies in severity, causes intellectual disability and developmental delays, and can cause health problems.…

    • 1700 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Knowing the “right” thing to say to someone in a moment of tragedy is never easy. Neither is achieving the balance between letting someone express their emotions and comforting them. But this is what I have seen doctors do time and time again in the Emergency Room and other departments within the hospital. As a volunteer advocate for survivors of interpersonal violence in the ER, I have seen tragic cases that are difficult to grasp because of the sheer amount of cruelty and suffering they describe. The second case I was a part of, in particular, was the most memorable clinical experience I have had.…

    • 411 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    To minimize the negativity, we can use engagement or use of self. Being present when other members of the healthcare team are making rounds with my patients is one method. I had an instance during a clinical rotation where one of my patients was given unexpected news about his diagnosis by a physician and was left alone in tears. I find that unacceptable and plan to have an active role in similar situations. As Florence Nightingale said to Carol Jean that true patient-centered care cannot be achieved until the caregivers place themselves in the patients perspective.…

    • 1128 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Communication is a way of transforming information from one person to another. It is something we do every single day; therefore, we need to know the right way of communicating to achieve our goals. Interpersonal communication is very essential in health care settings between provider-patient and provider-provider. It is important to know when to say something, how to say it, where to say it and who should/should not be a participant. In this essay, I will summarize a research article about parent preferences on Day One Talk and the relation of interpersonal communication and health care regarding delivering bad news.…

    • 787 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    For this paper I will define the seven principles of patient-clinician communication, how I apply each of these to my interactions with my patients, methods being used to improve interdisciplinary communication, the one that applies best to my area of practice and describe how I use it, the ethical principles that can be applied to issues in patient-clinician communication, and the importance of ethics in communication and how patient safety is influenced by good or bad team communication. Communication between patient and clinician is imperative for the best possible outcomes. Principles of Communication First I will define the seven principles of patient-clinician communication. The first concept is mutual respect, which is patient and…

    • 1463 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Nursing Ethical Dilemmas

    • 1680 Words
    • 7 Pages

    Synonymous to truthful assessment and conveying the actual diagnosis and/or prognosis means delivering a bad news, like confirming the seriousness of cancer or level of metastasis, relapse of chronic disease, or the in-effectiveness of treatment undergone. This is the primal reason why a significant number of healthcare providers like doctors or nurses encounter substantial difficulties in conveying the actuality of current clinical scenario, which lead to nurses or doctors psychological distress, bringing negative impacts on own emotional well-being and professional satisfaction (Panagopoulou, Mintziori, Montgomery, Kapoukranidou, & Benos, 2008; Hulsman et al., 2010; Tang, Fang, Chun-Kai Fang, & Fujimori,…

    • 1680 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Improvements in provider-patient communication could have valuable effects on health outcomes". An efficient review of randomized clinical struggles and analytic studies of physician-patient communication accepted a positive effect of quality communication on health outcomes. Ongoing research in this field is important. For a fortunate and humanistic encounter at an office visit, one needs to be sure that the patient's key concerns have been directly and exactly approached and addressed. To be effective, the clinician have to increase an understanding of the patient's mindset on his or her ailment.…

    • 632 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Moreover, providing support to the receiver of the news once the consultation is over. However, none of researches has fully confirmed that nurses in this process extremely play a crucial part in conveying difficult and bad information into the patient or a family member and none have included that nurses can deliver bad news (Imanipour , Bahrani, & Karim, 2016). Evidence indicates the active involvement of nurses in breaking bad news, however; less emphasis has been located on their role (Warnock, Buchanan, & Mary, 2014). This diversity in nurse’s work clarifies the intensity and difficulty of their roles. It is similarly discloses the extensive variety of information and proficiency that is required to have the ability to deliver the care (Imanipour, Bahrani, & Karim, 2016).…

    • 1227 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Down Syndrome Stereotypes

    • 1629 Words
    • 7 Pages

    Those who live with Down syndrome (Downs) have normal lives even if they may have a few characteristics that are different from those who do not. There are many types of Down syndrome, symptoms, diagnostic tests, and complications that characterize people who have Downs. But as shown, they are not as different to everyone else as some people may think, besides the extra 21st chromosome and a few other features. These can include physical characteristics, intellectual struggles, and a few diseases that they are more susceptible to. However, these difficulties can be cured and helped with medication, tutoring, and other forms of aid.…

    • 1629 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    Once nurses understand this is not feasible then communication with patients should become easier. Merely knowing how to be compassionate, sympathetic and caring is necessary whilst communicating with patients experiencing difficulties such as Teresa’s. (McCabe and Timmins,…

    • 1347 Words
    • 6 Pages
    Great Essays

Related Topics