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A cancer diagnosis had always seemed inevitable. The doctor who finally told me made it more bearable. 
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What’s your elephant in the room? Every group — whether it’s a family or a team in the workplace — has one: an uncomfortable, complicated or charged conversation that hasn’t happened but needs to. …
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Patients are more likely to develop psychological problems if their concerns are unresolved and their information needs unmet. However, many health professionals are uncertain how to elicit patients' concerns or tailor information appropriately. These difficulties may also lead to psychological problems for the health professional. Feeling inadequately trained in communication skills has been linked to burnout amongst senior doctors working in cancer. Clinicians find that some consultations are particularly hard to manage; for example, when patients are highly distressed, angry, withdrawn or in denial. Barriers to effective communication are patient-led as well as doctor- or nurse-led but relevant training can help overcome those barriers. The article described one training model that is effective in improving health professionals' skills. Specific strategies are suggested that can help in the more difficult consultations and so enable clinicians to talk to patients about their concerns and worries more freely.
Peter Mellow's insight:
Link thanks to @DerekGriffin86
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University of Rochester researchers have developed SOPHIE, a virtual ‘patient’ that trains doctors in explaining end-of-life options.
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From
hbr
How should you approach difficult conversations about mental health with your colleagues and boss? In this episode, host Morra Aarons-Mele speaks with Amy Gallo, author of “HBR Guide to Dealing with Conflict,” about when and how to disclose a mental health issue to your company. Plus, Dr. Rebecca Harley, a psychologist at Massachusetts General Hospital and Harvard Medical School, discusses the connection between mental health and recognizing boundaries at work.
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Hospitalists may be best positioned to introduce patients to palliative care and/or hospice options.
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The aim of the study was to explore the skills and strategies employed by professionals when having difficult conversations to provide information to loved ones as part of palliative care.A qualitative design was chosen with in-depth interviews with nurses
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Readers discuss a doctor’s essay about patients being “ready” to die.
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We will have only ourselves to blame for the evaporation of humanity in medicine if we keep narrowing the role of doctors
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After having a painful experience as a junior doctor, Kathryn Mannix learnt how to handle important or 'tender' conversations more successfully.
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Breaking bad news is never easy. A patient and oncologist share their thoughts on helpful approaches to life limiting diagnoses and care.
Peter Mellow's insight:
Link thanks to @drleeroyw
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Medical professionals have a crucial role to play in making sure everyone using the road arrives home safely to their family and friends.
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Clinicians need to create repeated opportunities for patients to talk about their future and end of life care, guided by the patient as to timing, pace, and content of such talks, and respecting the wishes of those who do not want to discuss such matters
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Dr Catherine Millington Sanders, GP, RCGP and Marie Curie National Clinical End of Life Care Champion and co-developer of Difficult Conversations training programme, shares her experiences and top tips on having difficult conversations. I recently had to tell a young woman that she was dying of metastatic breast cancer. She was a single mother with…
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