Suggestions for Effective Communication Techniques When Delivering Bad News
1. Effective communication is a function of skill and compassion, and not a function of time.
2. Introduce yourself as you approach the family. Reidentify yourself as you leave.
3. Start by asking what the survivors know of the situation or event. This will give you a framework for the rest of the dialogue.
4. Early in the conversation, let the survivor know the patient has died. Do not let suspense build.
5. Use common terms; avoid medical jargon. Particularly, use the word "dead," and avoid confusing phrases such as "passed on" or "is no longer with us." Go slowly and be sure they understand you.
6. Do not be afraid to show your emotions.
7. Be sensitive to how the patient's belongings are returned to the family.
8. Take cues from the survivors by watching their reactions. Try to be at eye level with them. Position yourself so your head and torso are facing the survivor.
9. One of the most important things you can do is to allow silence. Just sit with them.
10. Over the telephone, identify yourself and establish the identity of the survivor. The caller should talk with an adult.
11. Arrange for support for the survivor after you leave.
12. If you were with the patient the entire time, let the family know. Survivors are often concerned about their loved one suffering.
13. Before you leave, ask if they have any questions.
Source: Oregon Health Sciences University, Portland, OR.
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