Amalia Muhaimin Department of Public Health and Community Medicine Division of Bioethics School of Medicine Universitas Jenderal Soedirman
KOMPETENSI
1. Mampu menjelaskan bagaimana interaksi awal dengan pasien dapat membantu tercapainya tujuan akhir dari perawatan pasien dan menentukan tingkat kepercayaan dalam hubungan dokterpasien. 2. Mampu menjelaskan bagaimana cara penyampaian berita buruk dapat mempengaruhi persepsi pasien terhadap diagnosis dan prognosis penyakitnya. 3. Mampu meningkatkan keterampilan komunikasi dalam menyampaikan berita buruk kepada pasien.
8. Personal beliefs & values regarding treatment, death, palliative care 9. Fears of being messenger 10. Guilt and self-blame due to iatrogenic complications resulting in poor quality of life, increased severity of illness and/or death 11. Inconsistent approach to the issues, differences in language leading to confusion and misunderstandings with patients and families
Starting
Helpful Phrases Would you like me to tell you what the tests show or is there someone else I should talk to? Some people do not want to be told what is wrong with them, but would rather their families be told instead. What do you prefer?
Family
Does everyone understand what has been happening up until this point? Do you have any questions about why we did the tests we did or what they showed up until now?