!"#$%&'( !$* +#,- .

$/0 SlkLS"

!"#$ &'#(')#* +,-" ./0 1/
1
1#22&'(


llnd a quleL locaLlon, prlvaLe lf posslble
lnvlLe Lhe lmporLanL people Lo be presenL
Pave Llssues avallable
Pave enough chalrs
1urn off Lhe rlnger on your phone/pager

2
3#"4#/2&5' - whaL
Lhe paLlenL knows
already

1ell me whaL you undersLand abouL your lllness."
WhaL have Lhe oLher docLors Lold you abouL your lllness?"

Look for knowledge and emoLlonal lnformaLlon whlle Lhe
paLlenL responds

3
6'7&2$2&5' -
lnformaLlon sharlng
preferences



Would lL be okay for me Lo dlscuss Lhe resulLs of your LesLs
wlLh you now?"
Pow do you prefer Lo dlscuss medlcal lnformaLlon ln your
famlly?"
Some people prefer a global plcLure of whaL ls happenlng
and oLhers llke all Lhe deLalls, whaL do you prefer?"

4
8'5,9#*(# - glve
Lhe lnformaLlon

Clve a warnlng. l have someLhlng serlous we need Lo
dlscuss"
Avold medlcal [argon.
Say lL slmply and sLop. (e.g.?our cancer has spread Lo your
llver. lL ls geLLlng worse desplLe our LreaLmenLs.")

3
:;/$2<= - respond
Lo emoLlon

WalL quleLly for Lhe paLlenL.
l know Lhls ls noL whaL you expecLed Lo hear Loday."
1hls ls very dlfflculL news."

6
1>;;$"= ? dlscuss
nexL sLeps and follow
up plan

We've Lalked abouL a loL of Lhlngs Loday, can you please Lell
me whaL you undersLand."
LeL's seL up a follow-up appolnLmenL."