· Because we should
· More organ donation
· Less litigation
| 
 Plan  | 
 · Arrange meeting without delay · Rehearse your lines  | 
| 
 People  | 
 · Patient/relatives ± support person · Anaesthetist ± support person · Proceduralist · Junior doctor (for documentation + learning)  | 
| 
 Place  | 
 · Private room · Chairs · All on the same level  | 
| 
 Introduction  | 
 · Introduce your team · Confirm identity of those attending  | 
| 
 Assessment  | 
 · Ask what they know already · Consider level of understanding  | 
| 
 Tell  | 
 · Fire a warning shot · Small pieces of information · Frequent pauses · Facts only · No jargon · Sympathy but not blame  | 
| 
 Listen  | 
 · Allow time to process · Acknowledge emotional response · Allow questions  | 
| 
 Summarise  | 
 · Say it again in 20 words · Offer further contact · Offer referral service  | 
· Setting
· Patient perception
· Invite information
· Knowledge transmission
· Emotions and empathy
· Summary and strategy
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