[Breaking of bad news. Practical advice to physicians for successful communication with patients].

M Weber, A Werner, C Nehring, F J Tentrup
Author Information
  1. M Weber: III. Medizinische Klinik der Universitätskliniken Mainz. m.weber@3-med.klinik.uni-mainz.de

Abstract

BACKGROUND: In the more and more complex world of modern medicine, communication skills become increasingly important. Many physicians are however unaware of their difficulties in giving information in a clear and comprehensible way. This is especially true for breaking bad news. Keys for good communication consist in: careful preparation of the physical context of the interview; finding out how much the patient knows or suspects; giving the information in small amounts and a balanced way; responding to the patient's feelings and finally making a contract for the future.

References

  1. Med Klin (Munich). 1992 May 15;87(5):274-7 [PMID: 1614375]
  2. Med Klin (Munich). 1998 Jun 15;93(6):381-7 [PMID: 9662948]
  3. Lancet. 1993 Feb 20;341(8843):476-8 [PMID: 8094499]
  4. J Clin Oncol. 1995 Jul;13(7):1817 [PMID: 7602370]
  5. Postgrad Med J. 1996 Jan;72(843):25-9 [PMID: 8746281]
  6. Med Klin (Munich). 1996 Apr 12;91 Suppl 3:93-6 [PMID: 8692127]
  7. BMJ. 1996 Sep 21;313(7059):729-31 [PMID: 8819445]
  8. Internist (Berl). 1981 Mar;22(3):162-70 [PMID: 7012082]
  9. JAMA. 1991 Oct 2;266(13):1831-2 [PMID: 1909761]
  10. BMJ. 1991 Nov 30;303(6814):1385-7 [PMID: 1760608]
  11. J Clin Oncol. 1989 May;7(5):557-9 [PMID: 2709086]
  12. Chirurg. 1989 Jul;60(7):464-9 [PMID: 2791732]
  13. J Clin Oncol. 1994 Jun;12(6):1305-11 [PMID: 8201393]
  14. Dtsch Med Wochenschr. 1998 Apr 30;123(18):573-6 [PMID: 9615698]
  15. Palliat Med. 1994;8(3):245-50 [PMID: 7524971]
  16. J Clin Oncol. 1995 Sep;13(9):2449-56 [PMID: 7666105]
  17. J Palliat Care. 1995 Winter;11(4):34-8 [PMID: 8648521]
  18. Med Klin (Munich). 1990 Dec 15;85(12):729-33 [PMID: 2087214]
  19. Ann Intern Med. 1980 Jun;92(6):832-6 [PMID: 7387025]
  20. BMJ. 1996 Sep 21;313(7059):724-6 [PMID: 8819442]
  21. J Palliat Care. 1994 Autumn;10(3):90-100 [PMID: 7844651]
  22. J Clin Oncol. 1998 May;16(5):1961-8 [PMID: 9586916]
  23. Palliat Med. 1994;8(2):145-51 [PMID: 8081554]
  24. J Clin Oncol. 1993 May;11(5):989-96 [PMID: 8487062]

MeSH Term

Communication Barriers
Germany
Humans
Nonverbal Communication
Physician-Patient Relations
Truth Disclosure
Verbal Behavior

Word Cloud

Created with Highcharts 10.0.0communicationphysiciansgivinginformationwaybadnewsBACKGROUND:complexworldmodernmedicineskillsbecomeincreasinglyimportantManyhoweverunawaredifficultiesclearcomprehensibleespeciallytruebreakingKeysgoodconsistin:carefulpreparationphysicalcontextinterviewfindingmuchpatientknowssuspectssmallamountsbalancedrespondingpatient'sfeelingsfinallymakingcontractfuture[BreakingPracticaladvicesuccessfulpatients]

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