· 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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