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

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Step 4: Sharing the Information As you obtain the list of concerns from the patient, acknowledge the items on it and try to include them in the topics that you cover “Alzheimer’s occurs in older adults with Down syndrome, and because your father has Alzheimer’s, I know you are very worried about the possibility that the baby will develop Alzheimer’s when she is older. I will tell you everything I know about this, but can we first talk about the health effects of Down syndrome that need some attention in the first few weeks and months of her life” © 2010 Nancy Steinberg Warren, MS, CGC, all rights reserved.
Step 5. Responding to the patient’s feelings Identify and acknowledge the patient’s reaction, distinguishing adaptive from maladaptive reactions humor/guilt crying/collapse realistic hope/unrealistic hope disbelief, shock, denial, displacement, fear and anxiety, anger and blame, guilt, hope, despair, depression, over dependency, relief, bargaining © 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 and 18: Step 1: Start off well Start the c
Page 19 and 20: Step 2: Find out how much the patie
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: Step 4: Sharing the Information Tr
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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