[vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][ultimate_heading main_heading=”Candidate brief” main_heading_color=”#000000″ sub_heading_color=”#000000″ main_heading_style=”font-weight:bold;” main_heading_font_size=”desktop:36px;”]

“This gentleman’s mother has been found collapsed and extremely unwell.  After transfer to intensive care it has transpired that she has an unsurvivable intracerebral haemorrhage.  Please discuss this with him.”

[/ultimate_heading][vc_empty_space image_repeat=”no-repeat”][vc_video link=”https://vimeo.com/149492292″][vc_empty_space image_repeat=”no-repeat”][vc_row_inner row_type=”row” type=”full_width” use_row_as_full_screen_section_slide=”no” text_align=”left” css_animation=””][vc_column_inner width=”1/6″][no_counter type=”zero” box=”no” position=”center” underline_digit=”no” separator=”yes” digit=”5″ title=”Minutes” text=”Time to prepare before station begins”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” box=”no” position=”center” separator=”yes” digit=”20″ title=”Minutes” text=”Time for this station”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”14″ title=”Minutes” text=”Time to talk to your patient”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”1″ title=”Minutes” text=”Pause for reflection”][/vc_column_inner][vc_column_inner width=”1/6″][no_counter type=”zero” position=”center” separator=”yes” digit=”5″ title=”Minutes” text=”Time for discussion and questions with examiners”][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_empty_space image_repeat=”no-repeat”][/vc_column][/vc_row][vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” oblique_section=”no” text_align=”left” css_animation=””][vc_column][vc_accordion style=”accordion”][vc_accordion_tab title=”Discussion”][vc_column_text]The doctor has made sure they have provided their name and confirmed the name of the patient and his age.

It is important to explain that this will not be the only conversation that will be had about this subject and allow the patient or relative to know that ongoing support is available upon request.

It is important to work out what the patient understands about what has happened and what they think has occurred as when you give the diagnosis, you are better placed to give it in a way that the patient understands.

See how the doctor does not use a lot of technical terms, medical jargon. So the doctor mentions tests and a CT scan and use the term neurological event and then bleed rather than haemorrhage. The doctor sensitively checks that the son knows that this is not a case where the treatment is too expensive but rather it is a case of where there are no treatment options.

Note how the doctor does not give a specific time frame and make sure he is aware that I am not able to be specific. Any specific times will invariably be wrong. The doctor goes through essentially the principles of palliation. In addition, I do mention the key word of dying or death. It is important in cases like these to not use euphemisms, but to say what you mean.

Note how the doctor says ‘anything I have not explained’ – this allows him to ask questions and not feel patronised. If there was something that was misunderstood it is due to the doctor’s error in explanation rather than the patient’s understanding.[/vc_column_text][/vc_accordion_tab][/vc_accordion][/vc_column][/vc_row]