When do you make clear to the impossible communication after surgery?
If the patient ask just a few hours after major cancer surgery, do you transmit the complete bad news? Is it better to slowly explain it say a few days or weeks following? Can you really lie to a love one that knows better? Is the truth going to interfere with fast healing or help??
Answers:
The patient requests to be told the truth as soon as they are in a position to understand fully. The anaesthetic may still be having an effect for the subsequent 24 hours (we certainly wouldn't let someone drive in that time frame), and the subsequent day will give more chance to bring the nearest and dearest along for support. So i would read aloud a brief mention of the outlook as soon as the patient asks, and promise a full discussion for the next day.
It really depends on the party, but usually its better to just know the truth up front and then learn how to treaty with the pain. If they know whats going on, they'll face it and will live existence the best they can until the end. Of course it's not going to be a happy ending, but getting the stress out of the approach in the beginning is better than realizing subsequent what fates awaits you.
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Answers:
The patient requests to be told the truth as soon as they are in a position to understand fully. The anaesthetic may still be having an effect for the subsequent 24 hours (we certainly wouldn't let someone drive in that time frame), and the subsequent day will give more chance to bring the nearest and dearest along for support. So i would read aloud a brief mention of the outlook as soon as the patient asks, and promise a full discussion for the next day.
It really depends on the party, but usually its better to just know the truth up front and then learn how to treaty with the pain. If they know whats going on, they'll face it and will live existence the best they can until the end. Of course it's not going to be a happy ending, but getting the stress out of the approach in the beginning is better than realizing subsequent what fates awaits you.
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