Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-16T15:07:34.935Z Has data issue: false hasContentIssue false
  • English
  • Français

The Communication of Neurological Bad News to Parents

Published online by Cambridge University Press:  02 December 2014

Mohammed M.S. Jan  and
John P. Girvin
Mohammed M.S. Jan
Affiliation:
Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Jeddah, Kingdom of Saudi Arabia.
John P. Girvin
Affiliation:
Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Jeddah, Kingdom of Saudi Arabia.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Communicating disappointing or unexpected neurological news to parents is often both difficult and emotionally unwelcome. At the same time, it is important that transfer of such information is done well and, indeed, if done well, can be a very rewarding experience. Limited references are available for physicians regarding the proper communication of neurological bad news to parents. This paper attempts to provide general guidelines regarding this process. The review is based on the available medical literature, detailed discussions with many senior physicians from different medical systems and the authors'personal experience. The manner in which neurological bad news is conveyed to parents can significantly influence their emotions, their beliefs and their attitudes towards the child, the medical staff, and the future. This review of the literature, combined with clinical experience, attests to the fact that most families describe emotional shock, upset, and subsequent depression after the breaking of news of a bad neurological disorder. However, the majority find the attitude of the news giver, combined with the clarity of the message and the news giver's knowledge to answer questions as the most important aspects of giving bad news.

Résumé:

RÉSUMÉ:

Communiquer une nouvelle décevante ou inattendue aux parents est souvent difficile et lourde au point de vue émotif en neuropédiatrie. Il est important que le transfert d'une telle information soit bien fait et, si tel est le cas, peut être une expérience très gratifiante. Il existe peu de publications disponibles pour les médecins concernant la façon appropriée de communiquer de mauvaises nouvelles aux parents en neuropédiatrie. Cet article tente de fournir des lignes directrices générales sur ce sujet. La revue est basée sur la littérature médicale disponible, des discussions détaillées avec plusieurs médecins d'expérience travaillant dans différents systèmes médicaux et l'expérience personnelle des auteurs. La façon dont une mauvaise nouvelle neurologique est donnée aux parents peut influencer significativement leurs émotions, leurs croyances et leur attitude envers l'enfant, le personnel médical et l'avenir. Cette revue de la littérature, associée à l'expérience clinique, démontre que la plupart des familles décrivent un choc émotif, se sentent perturbées, puis déprimées après l'annonce d'une maladie neurologique sévère chez leur enfant. Cependant, la majorité considère que l'attitude du professionnel qui donne la nouvelle, la clarté du message et sa capacité à répondre aux questions sont les aspects les plus importants de cette démarche.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 29 , Issue 1 , February 2002 , pp. 78 - 82
Copyright
Copyright © Canadian Neurological Sciences Federation 2002

References

1. Tadmouri, GO, Tadmouri, NB. Genetic disorders in Arabs as for OMIM. Neuroscience 1999; 4:1–3.Google Scholar
2. El-Hazmi, MAF, Warsy, AS. Genetic disorders among Arabpopulations. Saudi Med J 1996; 17:108–123.Google Scholar
3. Ablon, J. Parents’ responses to their child’s diagnosis of neurofibromatosis 1. Am J Med Genet 2000; 93:136–142.Google Scholar
4. Jurkovich, GJ, Pierce, B, Pananen, L, Rivara, FP. Giving bad news: the family perspective. J Trauma 2000; 48:865–870.Google Scholar
5. Chisholm, CA, Pappas, DJ Sharp, MC. Communicating bad news. Obstet Gynecol 1997; 90:637–639.Google ScholarPubMed
6. Nielsen, D, Schmidt, L. Breaking bad news: experience and attitudeof young physicians. Ugeskr Laeger 1997; 159:2862–2866.Google ScholarPubMed
7. Weber, M, Werner, A, Nehring, C, Tentrup, FJ. Breaking of bad news. Practical advice to physicians for successful communication with patients. Med Klin 1999; 94:453–457.Google Scholar
8. Ptacek, JT, Fries, EA, Eberhardt, TL, Ptacek, JJ. Breaking bad news topatients: physician’s perceptions of the process. Support Care Cancer 1999; 7:113–120.Google Scholar
9. Vetto, JT, Elder, NC, Toffler, WL, Fields, SA. Teaching medicalstudents to give bad news: does formal instruction help? J Cancer Educ 1999; 14:13–17.Google Scholar
10. Garg, A, Buckman, R, Kason, Y. Teaching medical students how tobreak bad news. CMAJ 1997; 156:1159–1164. Google Scholar
11. Greenberg, LW, Ochsenschlager, D, O’Donnell, R, Mastruserio, J,Cohen, GJ. Communicating bad news: a pediatric department’s evaluation of a simulated intervention. Pediatrics 1999; 103:1210–1217.CrossRefGoogle ScholarPubMed
12. Vaidya, VU, Greenberg, LW, Patel, KM, Strauss, LH, Pollack, MM. Teaching physicians how to break bad news: a 1-day workshop using standardized parents. Arch Pediatr Adolesc Med 1999; 153:419–422.Google Scholar
13. Ungar, L, Alperin, M, Amiel, G, Behrier, Z, Reiss, S. Breaking badnews: a structured course for primary care physicians. Harefuah 2000; 139:198–202.Google Scholar
14. Fallowfield, L. Givingsadand badnews. Lancet 1993; 341(8843):476–478.Google Scholar
15. Shields, CE. Giving patients bad news. Prim Care 1998; 25:381–390.Google Scholar
16. Ahmann, E. Review and commentary: two studies regarding givingbad news. Pediatr Nurs 1998; 24:554–556.Google Scholar
17. Eggly, S, Afonso, N, Rojas, G, et al. An assessment of resident’scompetence in the delivery of bad news to patients. Acad Med 1997; 72:397–399.Google Scholar
18. Sharp, MC, Strauss, RP, Lorch, SC. Communicating medical badnews: parent’s experiences and preferences. J Pediatr 1992;Google Scholar