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Breaking Bad Communication

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BREAKS protocol is developed to be a systematic and easy communication strategy for breaking bad news. BREAKS mnemonic is very easy to memorize (B -Background, R- Rapport, E - Explore, A -Announce- K-Kindling and S –Summarize) It can be practiced effectively as well (Narayanan et al., 2010). Background is an effective therapeutic communication which is dependent on the in-depth knowledge of the patient's problem, as the accessibility of electronic media has given ample scope for obtaining enough data on any issue. So, it is highly desirable to prepare answers for all questions that can be anticipated from the patient, so there should be awareness of the patient/relative who comes after "googling" the problem, it may not …show more content…
Simple modifications on the physical set up is necessary as switching off the mobile phone and removing physical barriers as: desks to maintain eye contact. Also, the emotional breakdown can be expected; hence, it is necessary to console the patient as well (Narayanan et al., 2010). Rapport building is fundamental through having an unconditional positive regard thus it is necessary to provide ample space for self-disclosure to open up, the patient should be placed in a comfortable position, also using open ended-questions is enquired, furthermore, if the patient is not prepared for the bad news, especially after getting his /her symptoms well palliated, the nurse should let him finish the reports of well-being, and then try to take cues from his conversation to initiate the breaking bad news process (Porensky, …show more content…
Most of the time, patients will not actively listen to what is said after the breaking bad news and an overwhelming feeling of a grim fate can ignore further explanations from the nurses and physicians part, hence, it is advisable to ensure that the patient listens to what is being told, by asking them questions like “are you there?", "do you listen to me?" etc., as it involves asking the patient to recount what they have understood (Rosenzweig, 2012; Harman& Arnold,

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