Didactics-Breaking Bad News

Video Transcription

Video Summary

In this video, Dr. Michael Pearl discusses the topic of breaking bad news in a medical setting. He acknowledges that breaking bad news is a common experience in oncology and emphasizes that it is a crucial and complex communication task. Dr. Pearl introduces several tools and models that can be used to guide these conversations, such as SPIKES, ABCDE, and BRAKES. He highlights the importance of active listening, empathy, and avoiding bad communication habits. Dr. Pearl also addresses the question of timing when delivering bad news, stating that it is an ongoing process throughout a patient's care. He suggests individualizing the approach based on the patient's emotional maturity, cultural beliefs, and personal preferences. In terms of disclosing prognosis, Dr. Pearl advises against giving specific timeframes and emphasizes the need for honesty, sensitivity, and realistic optimism. He concludes by stating that breaking bad news is not a one-size-fits-all approach, but rather a skill that can be learned and developed to suit the individual needs of patients and their families.

Asset Subtitle

Michael Pearl
May 2021

Keywords

breaking bad news

medical setting

oncology

communication task

SPIKES

ABCDE

BRAKES

active listening

empathy

timing