Breaking bad news in the Emergency Department: Unexpected events, Unexpected Consequences
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 11
Abstract
Aims and objective: To spread the awareness among physicians that how to deliver the bad news to the relative and to aware the effects of the bad news on the receiving end and to tackle a varied range of emotional outbursts. Breaking bad news training to the physicians can reduce the adverse effect on the receiving end. Methods: We conducted a randomised double blind study to identify the reaction of the patient’s relative while breaking the bad news. In this study, 60 deaths of any age group occurred in the Emergency Department of MGM Medical College, Navi Mumbai from the period January 2015 to September 2015 were taken. Alternate deaths were divided into two groups .Group B was conveyed the bad news in a conventional way and unstructured way whereas a structured format was followed for the Group A. Results: It was observed that group A was far better able to cope up with the bad news than group B. Initial shock reaction or vasovagal syncope situation was around 20 % in group B whereas in group A it was nearly 6%.Anger situation was found to be around 16% in group B and in group A it was approx. 3%. Psychosis was around 10 %, Guilty around 3 percent and other reaction like denial 3% was found in group B which was relatively higher than group A.
Authors and Affiliations
Abhishek Chaudhary, D. B Bhusare, S. Ashok kumar, Khizar Ahmed
Keywords
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