Breaking Bad News: Relationship between the Experience Receiving Breast Cancer Diagnosis and Early Psychological Adjustment.

Author(s):  
R. Smith ◽  
B. Crawford ◽  
L. Petersen Lunkenda ◽  
J. Mandrekar ◽  
S. Cha ◽  
...  
2018 ◽  
Vol 27 (3) ◽  
pp. 943-950 ◽  
Author(s):  
Jane A. McElroy ◽  
Christine M. Proulx ◽  
LaShaune Johnson ◽  
Katie M. Heiden-Rootes ◽  
Emily L. Albright ◽  
...  

2014 ◽  
Vol 03 (02) ◽  
pp. 116-121 ◽  
Author(s):  
Mathew Gabriel Bain ◽  
Cheah Whye Lian ◽  
Chang Ching Thon

Abstract Context: Breaking of bad news is an important component in the management of cancer patients. Aims: This study aimed to assess the perceptions of breaking bad news of cancer diagnosis. Settings and Design: It was a cross-sectional study using Breaking Bad News Assessment Schedule (BAS) questionnaire on cancer patients in Serian district. Materials and Methods: Using snowballing sampling method, a total of 134 patients were interviewed face-to-face after the consent was obtained from each of the respondents. Statistical Analysis Used: Data was entered and analyzed using SPSS version 19.0. Results: Majority were comfortable with the current method of breaking bad news. The main aspects found to be the areas of concern were the importance of the usage of body language, management of time and identifying patients′ key area of concerns. There were significant difference between sex and "information giving" (P = 0.028) and "general consideration" (P = 0.016) and also between "the age and setting the scene" (P = 0.042). Significant difference was also found between the types of cancer and "the setting of scene" (P = 0.018), "breaking bad news technique" (P = 0.010), "eliciting concerns" (P = 0.003) and "information giving" (P = 0.004). Conclusion: Good and effective communication skill of breaking bad news is vital in the management of cancer patients. As the incidence of new cases of cancer increase every year, breaking of bad news has become a pertinent to the medical professionals′ role. Specific aspects of communication skills based on local characteristics should be more emphasized in the formulation of training for doctors.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Nader Touqan ◽  
Nabila Nasir ◽  
Kate Williams ◽  
Maria Bramley ◽  
M Shamim Absar

Abstract Aim Virtual consultations (VC) in Breast Surgery have become well-established during the COVID pandemic. They are successfully utilised in routine follow ups and low-risk new referrals. We aimed to assess the utility of VC in more complex clinical discussions. Methods We collected feedback anonymously via electronic link from 20 consecutive patients who specifically had more challenging video-VC including: 12 diagnostic MDT results (10 patients received bad news of new cancer diagnosis, 2 had benign results); 6 post-operative wound checks with therapeutic MDT outcomes; 2 new consultations for chest wall reconstruction. Results The time saved by patients was between 1 and 3 hours (median=2). All patients felt that booking and joining a VC was either very easy (12) or easy (8). 18 patients were satisfied with the quality of sound and picture and all 18 felt they were able to communicate everything to the clinician during their VCs. Compared to a face-to-face consultation, 14 patients felt that VC was better (70%), 4 felt it was similar (20%) and 2 thought it was worse (10%). Most received comments were themed around VC had allowed patients to get their results, discuss their management plans and ask questions while they were safely at home with other family members, at times when COVID restrictions applied to outpatient clinical settings. Conclusion VC may be utilised selectively to provide complex consultations including discussing results, breaking bad news and wound inspections. Qualitative studies in this field can be beneficial.


2001 ◽  
Vol 19 (7) ◽  
pp. 2049-2056 ◽  
Author(s):  
Patricia A. Parker ◽  
Walter F. Baile ◽  
Carl de Moor ◽  
Renato Lenzi ◽  
Andrzej P. Kudelka ◽  
...  

PURPOSE: The goal of this study was to assess patients’ preferences regarding the way in which physicians deliver news about their cancer diagnosis and management. PATIENTS AND METHODS: A sample of 351 patients with a variety of cancers completed a measure assessing their preferences for how they would like to be told news about their cancer. Patients rated characteristics of the context and content of the conversation as well as physician characteristics. RESULTS: Factor analysis indicated that patients’ preferences for how they would like to be told news regarding their cancer can be grouped into the following three categories: (1) content (what and how much information is told); (2) facilitation (setting and context variables); and (3) support (emotional support during the interaction). Women (P = .02) and patients with higher education (P = .05) had significantly higher scores on the Content scale, women (P = .02) had higher scores on the Support scale, and younger patients (P = .001) and those with more education (P = .02) had higher scores on the Message Facilitation scale. Medical variables were not associated with patients’ ratings of the importance of the three subscales. CONCLUSION: Patients rated items addressing the message content as most important, though the supportive and facilitative dimensions were also rated highly. Understanding what is important to patients when told news about their cancer provides valuable information that may help refine how this challenging task is best performed.


2018 ◽  
Vol 131 ◽  
pp. 131S
Author(s):  
Saritha Vakada ◽  
Gloria A. Bachmann ◽  
Chi-Wei Lu

2021 ◽  
pp. 205141582110001
Author(s):  
Babbin S John ◽  
Joshila Bhudoye ◽  
Mark F Lynch

Breaking bad news is challenging in most circumstances, and informing a patient that they have a cancer diagnosis more so. Therefore, most patients have a face-to-face meeting with their doctor to get their cancer diagnosis with many advantages to this method. The SARS-Covid pandemic has forced cancer specialists to change their approach to giving cancer news and telemedicine is being utilised more than ever before. We describe the satisfaction outcomes of a series of patients who were given their cancer diagnosis by telephone during the pandemic. Our evaluation shows that cancer diagnosis can be safely given over the telephone and moreover the results can be used to design a bespoke cancer clinic of the future. Level of evidence: 4


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