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    Rev Med Suisse. 2005 May 18;1(20):1350, 1352-3.

    [Breaking bad news].

    [Article in French]
    Voelter V, Mirimanoff RO, Stiefel F, Rousselle I, Leyvraz S.

    Source

    Fondation du Centre pluridisciplinaire d'oncologie, CHUV, 1011 Lausanne. verena.voelter@hospvd.ch

    Abstract

    Breaking bad news is one of the most stressful duties of the physician in oncology. Among other issues, it includes discussion of cancer diagnosis or the failure of therapy. The oncologist is often puzzled by an apprehension regarding the delivery of bad news. The fear to be exposed to unexpected strong emotional reactions by the patient, such as aggression or despair, may cause the oncologist to adopt unproductive coping strategies such as discussion about technical details while avoiding to deliver the main message. However, good communication skills are the key for a satisfying conversation with the patient. The oncologists' discomfort induced by the above mentioned apprehension is one of the most important barriers for a successful conversation.

    PMID:
    15991627
    [PubMed - indexed for MEDLINE]

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