Finished and constructed through a panel of prime overseas specialists within the box, "Tinnitus: analysis and therapy "provides a multidisciplinary assessment of the prognosis and administration of a frequent and troubling illness.
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22 Finding out what the patient knows or suspects To launch straight into an explanation of the diagnosis can be disastrous. Finding out what the patient understands so far helps gauge the pace of the consultation and where the patient is starting from. Some patients may genuinely have no idea that there is anything seriously wrong. Others may be terrified that they are going to die the following week. ’ is a good opening question. Finding out how much more they want to know Although the majority will want more information, a small minority would be devastated if told bad news at any stage.
1177/026921639601000105. Reprinted by Permission of SAGE. , How to Break Bad News, Papermac, London, UK, Copyright © 1996. 9 As the Health Service Commissioner for the UK10 pointed out, improvement in communications between healthcare workers, patients, and relatives would result in a marked reduction in complaints. 2 outlines the reasons why breaking bad news is difficult. What to tell Minimum information After the diagnosis is firmly established, the patient should be informed that they have a progressive disease of the motor nerves, for which no curative therapy is available.
2012) End of life care in neurological disease. In Oliver D. ) End of Life Care in Neurological Disease. London: Springer. pp. 19–32. , Campbell C. (2013) Triggers in advanced neurological conditions: predictions and management of the terminal phase. 1136/bmjspcare-2012-000389. REFERENCES 21 Oliver D. , Tumer M. R. (2010) Some difficult decisions in ALS/MND. Amyotrophic Lateral Sclerosis 11: 339–43. 22 National Institute for Health and Care Excellence (2010) Motor neurone disease – non-invasive ventilation.
Textbook of Tinnitus