S - Support and summarize
This is your
opportunity to answer any questions posed by the patient and to offer
clarification. You should offer the
explanation in language the patient can understand and address the issues from
the patient’s perspective. You can
provide explanations simply and honestly, avoiding excessive bluntness. You should give information in chunks and
check that the patient has understood you. You can offer any support systems
that are available (clergy, social work).
When discussing conditions with a poor prognosis, avoid statements like “There is nothing more
we can do for you” as goals in care will change to symptom relief and good pain
control, both of which are possible. When
you are comfortable that the patient does not have any more questions, you can
excuse yourself from the room, but leave a nurse or social worker with the
patient and explain that you will be available if other questions arise. Often patients who have to deal with a death
are concerned about what to do next. You
can reassure them that if they contact a funeral home, the funeral home will
take care of all the details.