Reflectors group B by Quarshie, Roberta https://padlet.com/rquarshie14/yre66bts7btuqr1c Breaking bad news- reflective style en-us 2020-09-08 12:41:00 UTC 2023-03-28 16:33:52 UTC hello@padlet.com What is a reflector? rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828900 A person who learns by observing and thinking about what has happened. They may avoid leaping in and prefer to stand back and view experiences from a number of different perspectives, collect data and take time to work towards an appropriate conclusion.]]> 2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828900 Here's a helpful mnemonic for you to learn to help you break bad news: rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828919 The ABCDE mnemonic 
Advance preparation
  • Arrange for adequate time, privacy and no interruptions (turn pager off or to silent mode).
  • Review relevant clinical information.
  • Mentally rehearse, identify words or phrases to use and avoid.
  • Prepare yourself emotionally.
Build a therapeutic environment/relationship
  •  Determine what and how much the patient wants to know.
  •  Have family or support persons present.
  •  Introduce yourself to everyone.
  •  Warn the patient that bad news is coming.
  •  Use touch when appropriate.
  •  Schedule follow-up appointments.
Communicate well
  •  Ask what the patient or family already knows.
  •  Be frank but compassionate; avoid euphemisms and medical jargon.
  •  Allow for silence and tears; proceed at the patient's pace.
  •  Have the patient describe his or her understanding of the news; repeat this information at subsequent visits.
  •  Allow time to answer questions; write things down and provide written information.
  •  | Conclude each visit with a summary and follow-up plan.
Deal with patient and family reactions
  •  Assess and respond to the patient and the family's emotional reaction; repeat at each visit.
  •  Be empathetic.
  •  Do not argue with or criticize colleagues.
Encourage and validate emotions
  •  Explore what the news means to the patient.
  •  Offer realistic hope according to the patient's goals.
  •  Use interdisciplinary resources.
  •  Take care of your own needs; be attuned to the needs of involved house staff and office or hospital personnel.

]]> 2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828919 Here is a video showing a doctor breaking bad news rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828923 Watch the video and comment on what was done well and what could have been improved.]]> 2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828923 You are a reflector if you: rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828932
  • Observe and consider things
  • Like to be thoroughly briefed
  • Reflect on what you learn
  • Take time over your studying

    • Comment if you feel this is you!
    ]]>     2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828932     Now watch this second video. What do you think about how they broke bad news? rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828957 How do you think this situation could have been handle better? Comment below.]]> 2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828957 Here are our learning objectives: rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828959 1) Understand the features of the reflector learning style
    2) Explore the learning style through learning about breaking bad news
    3) Use the style to reflect on a poor example of breaking bad news]]>     2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828959     Fill out this post-breaking bad news self-analysis, reflective questionnaire: rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828962 https://docs.google.com/forms/d/e/1FAIpQLSfkYWTT3YB6RKxYErycrMoQ-Gf5dLanvYc8Ki9dOO4xJjHiiw/viewform

    Comment below if your confidence has changed since having had the session!]]>     2020-09-08 12:41:00 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726828962     Now you have a go! rquarshie14 https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726903879 In groups, assign one actor and one student doctor to the task of breaking bad news]]> 2020-09-08 13:01:35 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726903879 First of all, have a 5 minute discussion with the person next to you about the elements you think are important to consider when breaking bad news to someone. https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726910008 2020-09-08 13:03:19 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726910008 Explore the other learning types and decide if reflector is the one for you https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726920812 Click the image to enlarge]]> 2020-09-08 13:06:05 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726920812 Welcome! https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726926439 Hi there! Welcome to our Padlet. We are going to teach you how to break bad news to a patient using the reflector style of learning. Please follow the arrows and learn with us along the way!]]> 2020-09-08 13:07:25 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726926439 Before we begin, please fill out this pre-post breaking bad news self-analysis questionnaire https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726946037 https://docs.google.com/forms/d/e/1FAIpQLSf7rFvb5lSt4aklosz-RaBtXip3B4iYAtEc5Cj_lyJe2SB9aA/viewform?usp=sf_link]]> 2020-09-08 13:11:46 UTC https://padlet.com/rquarshie14/yre66bts7btuqr1c/wish/726946037