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PA-C | MFA | Passionate about the language of healthcare

#12 - One of the best favors I can do for a family (and myself) is to reach out early if I see the case has potential to go poorly. The better my rapport with the family, the better buy-in I will have, which is important when I’m delivering bad news. When a patient isn’t improving as expected, and I see that difficult decisions may lie ahead, I follow this pattern: Conversation #1: 🔵 I introduce myself to the patient and/or family and ensure they understand the medical situation. I explain the unknowns. (e.g.: “Right now, we don’t know if Sally’s breathing will improve.”) [Keep it open ended] 🔵 I explain what we are doing in the meantime: “We will continue to give best supportive care including breathing treatments, etc...” 🔵 Then I leave them with a thought: “Of course, I want Sally to live long and recover, but we should also be prepared for the worst-case scenario so that we can give direction to the medical team. One question to think about is: would Sally ever want to be intubated?” Now, the patient/family are ✅ 1) grounded with the potential of things going poorly, and ✅ 2) aware of the most pressing question to answer. 🔵 Finally, ask them to talk again in the coming days. Conversation #2 simply carries these topics forward. Even if the worst case has moved from possible to inevitable, I often find that the discussion progresses smoothly without shocking or blindsiding the family. _______________________________________________________________________________ As a healthcare provider for the chronically ill and terminal, I give bad news every day and I have learned how to do it well—plus mistakes to avoid. During January, I will release a series on how to effectively deliver bad news with confidence and understanding.   #healthcare #palliativecare #difficultconversations #emotionalintelligence

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Kristin Laudenslager

Champion of Creativity and Joy in Strategic Marketing and Communications Leadership

9mo

This is such an important aspect of healthcare —caregivers aren’t just caring for the ill but their loved ones too. I’m so pleased to see how you’re weaving your gifts of healer and writer together. 💞

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