Communicating sad, bad, and difficult news in medicine.
In every medical specialty bad, sad, and difficult information must be given to patients and their families. An insensitive approach increases the distress of recipients of bad news, may exert a lasting impact on their ability to adapt and adjust, and can lead to anger and an increased risk of litig...
| Publicado en: | Lancet Vol. 363; no. 9405; pp. 312 - 320 |
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| Autores principales: | , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Lancet
1/24/2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106746864&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106746864 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01406736 LAN jtl: Lancet issn: 01406736 maglogo: N pubinfo: dt: 1/24/2004 vid: 363 iid: 9405 pid: 1297 pub: Lancet place: Philadelphia, Pennsylvania artinfo: ui: 106746864 106746864 NLM14751707 2004096974 10.1016/s0140-6736(03)15392-5 NLM14751707 106746864 ppf: 312 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Communicating sad, bad, and difficult news in medicine. aug: au: Fallowfield L Jenkins V Fallowfield, Lesley Jenkins, Valerie affil: Cancer Research UK Psychosocial Oncology Group, Brighton and Sussex Medical School, University of Sussex, BN1 9QG, Falmer, UK sug: subj: Communication Physician-Patient Relations Truth Disclosure Cancer Patients Communication Skills Patient Attitudes Physician Attitudes Practice Guidelines Specialties, Medical Trauma ab: In every medical specialty bad, sad, and difficult information must be given to patients and their families. An insensitive approach increases the distress of recipients of bad news, may exert a lasting impact on their ability to adapt and adjust, and can lead to anger and an increased risk of litigation. Many doctors also find these interactions stressful, and in the absence of much effective training they may adopt inappropriate ways of delivering bad news and coping with the emotional fall-out. Recognition of these difficulties has led to many initiatives, ranging from increased communication skills training to the development of guidelines and protocols. We review some of the research on the impact that giving sad, bad, and difficult news has on doctors and patients, and assess whether interventions are helping. We focus mainly on difficulties encountered involving parents in an obstetric or paediatric setting, people in acute trauma situations such as accident and emergency departments, and patients with cancer. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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