Effective Ways of Breaking Bad News in Terminal Ill Diagnosis: Focus on Strategies

Abstract

In terminal diagnosis breaking bad news is one of the most difficult tasks for every clinicians working in the palliative endof-life care, but a must in its clinical practices. It requires special skills and the ability to deliver the bad news without hurting the sentiment of the patient and the loved ones. Many clinicians working in the palliative care are incompetent in handling the process of delivering the bad news, mainly due to the lack of effective communication skills and sometime were preoccupied with fear and nervousness. A time of breaking bad news is consider to the most crucial moment where the dying individuals are mostly accompanied with several negative feelings and emotional breakdown, which require a well structure manner and well design techniques to put forward. Yet little of its skills and techniques are known among the medical practitioners as a whole in their medical curriculum during their training period. Delivering bad news requires clinicians advance preparations on how much information the patient and the family would like to acquire, quality therapeutic relationship, and emotionally well prepared. The challenges lies in breaking bad news an important domain in terminal diagnosis, but the clinicians are mostly not aware on how, when, and where to deliver in its clinical practices that usually creates a communication gap between the clinicians and the patient.