Heart Education Awareness Resource and Training through eLearning (HEARTe)



The GP and district nurse visit Bill and his daughter

The GP and nurse visit Bill and his daughter

What should we consider when breaking bad news for patients and family:

  • Ensure there is an quiet environment where they are not going to be disturbed
  • Tailor information to individual needs.
  • Check their understanding
  • Elicit and explore understanding of information given
  • Determine how much they want to participate in decision-making
  • Discuss treatment options so that the they understands the implications
  • Enable them to follow agreed decisions about treatment
  • Identify, offer, discuss and signpost relevant further support (e.g. psychology, information resources, support groups) that they and relatives/carers might find helpful

Pulse point

Additional useful reference:

Buckman, R. (1992) How to break bad news: a guide for healthcare professionals. The John Hopkins University Press. Maryland. U.S.A.

Page last reviewed: 28 Jul 2020