Breaking bad medical news in a dental care setting

作者: Pelin Güneri , Joel Epstein , Ronald W. Botto

DOI: 10.14219/JADA.ARCHIVE.2013.0131

关键词: NursingTruth DisclosureHealth careMEDLINETherapeutic relationshipAlternative medicineEmpathyEmotional intelligenceMedicineCurriculumDentistryGeneral Dentistry

摘要: ABSTRACT Background Dental care providers may diagnose diseases and conditions that affect a patient’s general health. The authors reviewed issues related to breaking bad medical news dental practice patients provide guidance clinicians about how do so. Methods To help reduce the potentially negative effects associated with emotionally laden communication serious health findings, present suggestions for appropriately sensitively delivering both their families in supportive fashion. Results Preparing deliver by means of education is recommended prevent or psychological distress. One form ABCDE model, which involves Advance preparation, Building therapeutic relationship environment, Communicating well, Dealing patient family reactions, Encouraging validating emotions. An alternative model six-step SPIKES sequence—Setting, Perception, Invitation Information, Knowledge, Empathy, Strategize Summarize. Using either can assist sensitive empathetic communication. Conclusions For practitioners’ patients’ well-being, effective delivery should be included school curricula continuing courses. Practical Implications familiar oral manifestations needed before undergoes treatment use necessary share patients.

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