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[Breaking bad news--a challenge for every physician]
1II. Medizinische Klinik und Poliklinik, Onkologie, Hämatologie und Knochenmarktransplantation mit Sektion Pneumologie, Hubertus Wald Tumorzentrum - Universitäres Cancer Center Hamburg, Zentrale Anlaufstelle , Universitätsklinikum Hamburg-Eppendorf, Haus Ost 24, EG rechts, Martinistr. 52, 20246, Hamburg, Deutschland, g.schilling@uke.de.
Breaking bad news requires sensitive physician communication, especially with critically ill patients and families. Effective dialogue builds trust, improves coping, and encourages shared decision-making, even under time constraints.
Area of Science:
- Medical Communication
- Physician-Patient Relationship
Context:
- Delivering bad news is a critical physician duty impacting doctor-patient relationships.
- Clinicians often communicate with distressed family members of critically ill patients.
- Challenges include limited information, unpredictable reactions, and maintaining hope.
Purpose:
- To explore the complexities and best practices in breaking bad news.
- To highlight the importance of effective communication in critical care and emergency settings.
- To emphasize strategies for building trust and facilitating shared decision-making.
Summary:
- Physician communication during bad news delivery significantly influences patient and family coping and compliance.
- Building trust and empowering patients in shared decision-making are crucial, despite time limitations.
- Addressing patient and family expectations and reactions is key to sensitive communication.
Impact:
- Improved patient and family coping mechanisms and disease management.
- Enhanced patient compliance and adherence to treatment plans.
- Strengthened physician-patient relationships and trust, even in difficult circumstances.
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