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  • 1. Advance Care Planning
  • 2. Communicating Bad News
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    Back to Module 2: Communicating Bad News
    A Six Step Protocol

    A Six Step Protocol Overview

    • Designed as a systematic guide to the communication of bad news
    • May be viewed more generally as a model for communicating any important information
    • Adapted from How to Break Bad News: A Guide for Health Care Professionals by Robert Buckman
      • Steps 1-3 deal with preparatory activities that could be completed before the session at which the physician actually delivers the bad news

      • At Step 4, the news is delivered

      • Steps 5-6 permit the physician to respond to the patient’s reactions and constructively plan for follow-up
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