1. Breaking Bad News DR.YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM Consultant Family Medicine Associate professor King Khalid University Hospital College of Medicine King Saud University

3. Case Scenario During morning clinic, you receive a phone call from the radiologist at your local hospital. A chest x-ray carried out on Mr. Ahmed shows features highly suggestive of lung cancer. You remember that Mr. Ahmed is a 50 year old in your practice area. What problems confront you and how could they be dealt with?

4. Case scenario 30-year-old lady delivered a baby with down syndrome 8 hours ago. The pediatrician told you as an intern to tell her husband about the diagnosis. What points would you like to consider in discussing this request with him?

5. Aims: breaking bad news Enhance the psychosocial adaptation of patients and their relatives.

6. Principles: breaking bad news The most appropriate persons. Details of the patient and all necessary information. What information is to be conveyed and in what order?

7. Principles: breaking bad news Terminology. Privacy. Appropriate setting Timing.

8. Principles: breaking bad news Respect and absolute attention. Active listening Empathy Honestly and accurately.

9. Principles: breaking bad news Check out understanding. Patient reactions Body language. Relaxed, unhurried.

10. Principles: breaking bad news Explanatory leaflets. Avoid unnecessary distress and minimize misunderstanding. Avoid overload patient with information. Summarize the information.

11. Principles: breaking bad news Questions. Support. Early follow up. Time for your own felling.

12. conclusion عن أبي يحي صهيب بن سنان رضي الله عنه قال: قال رسول الله صلى الله عليه وسلم: (( عجبا لأمر المؤمن إن أمره كله له خير وليس ذلك إلا للمؤمن: إن أصابته سراء شكر فكان خيرا له، وإن أصابته ضراء صبر فكان خيرا له)) رواه مسلم

13. مع تمنياتي لكم بالتوفيق

14. Practical and Role play Two volunteer student Scenario Role play discussion