Breaking Bad News PPT[1] - Genetic Counseling Cultural ...

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Step 1: Start off well If the need for the conversation is pressing: “I know you are not feeling well, but perhaps we could talk for a few minutes now, then I could come back tomorrow” © 2010 Nancy Steinberg Warren, MS, CGC, all rights reserved.
Step 2: Find out how much the patient knows Find out what the patient knows about the impact of the illness on his or her future “Before you tell, ask” “What have you made of the diagnosis so far” “Have you been very worried about the pregnancy” “Have you been thinking that this might be something serious when the test was repeated” “Can you tell me what you remember about why the amniocentesis test was recommended” © 2010 Nancy Steinberg Warren, MS, CGC, all rights reserved.
Page 1 and 2: Breaking Bad News © 2010 Nancy Ste
Page 3 and 4: What is Bad News Give an example f
Page 5 and 6: What is Bad News Results in a cogn
Page 7 and 8: Why is Breaking Bad News Difficult
Page 9 and 10: Words of Wisdom: Buckman “An exp
Page 11 and 12: Advance Preparation Review all rel
Page 13 and 14: Step 1: Start off well Get the phy
Page 15 and 16: Step 1: Start off well If you must
Page 17: Step 1: Start off well Start the c
Page 21 and 22: Step 2: Find out how much the patie
Page 23 and 24: Step 3: Finding out how much the pa
Page 25 and 26: Step 3: Finding out how much the pa
Page 27 and 28: Step 4: Sharing the Information Ed
Page 29 and 30: Step 4: Sharing the Information If
Page 31 and 32: Step 4: Sharing the Information Gi
Page 33 and 34: Step 4: Sharing the Information De
Page 35 and 36: Step 4: Sharing the Information Ch
Page 37 and 38: Step 4: Sharing the Information Re
Page 39 and 40: Step 4: Sharing the Information Us
Page 41 and 42: Step 4: Sharing the Information It
Page 43 and 44: Step 4: Sharing the Information Tr
Page 45 and 46: Step 5. Responding to the patient
Page 47 and 48: Step 6. Planning and follow-through
Page 49 and 50: Step 6. Planning and follow-through
Page 51: The Counselor’s Needs Attend to

Breaking Bad News PPT[1] - Genetic Counseling Cultural ...

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