The impact of bad news on neurological diseases: the challenge in doctor-patient communication

Authors

DOI:

https://doi.org/10.31157/an.v29i1.623

Keywords:

diseases neurodegenerative, Bad news, Communication, Physician-Patient Relation, Medical education

Abstract

Objective: In the context of neurological diseases, bad news is often reported. We describe how bad news is given/received in the doctor-patient relationship. 

Material and Methods: Descriptive cross-sectional study by means of a survey, 50 neurologists and 145 patients with neurological disease participated. An Ad hoc questionnaire was developed to assess the communication/reception of bad news.  

Results: Only 11% of doctors always report them. Regarding training, 56% learned by seeing other specialists. For patients, notification of diagnosis is the most frequent bad news (53.4%). While neurologists mentioned that they communicate verbally (85.5%), patients reported 36.0%. In emotional expression: 52% of doctors allow it to the patients, who report this possibility in 4.8%.  

Conclusion: Doctors do not receive training in the subject. These results suggest that adaptations should be made in the training of neurologists that include tools that favor dialogical communication.

Author Biographies

Zoila Trujillo de los Santos, Instituto Nacional de Neurología Y Neurocirugía Manuel Velasco Suarez

Médico Geriatra. Programa de Cuidados Paliativos.

María Alejandra Sánchez Guzmán, Universidad Nacional Autónoma de México

División de Estudios de Posgrado de la Facultad de Medicina. Universidad Nacional Autónoma de México.

References

VandeKieft KG. Breaking Bad News. Am Fam Physician 2001;64:1975-8.

WF Baile, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES—A Six-Step Protocol for Delivering Bad News: Application to the patients with cancer. The Oncologist 2000;5: 302-311. DOI: https://doi.org/10.1634/theoncologist.5-4-302

Ascencio-Huertas L, Allende-Pérez S, Castañeda-de la Lanza C, Verástegui-Avilés E. La comunicación de “malas noticias” en cuidados paliativos. Gac Mex Oncol 2013;12(4):276-279.

Serra VMA. Sir William Osler: el padre de la medicina moderna. Aportes a la reumatología. Rev Cubana Reumatol 2015; 17: 162-168.

Goebel S, Mehdorn HM. Breaking Bad News to Patients with Intracranial Tumors: The Patients' Perspective. World Neurosurg 2018;118:e254-e262. doi: 10.1016/j.wneu.2018.06.168. DOI: https://doi.org/10.1016/j.wneu.2018.06.168

Messina MJ, Dalla Costa G, Rodegher M, Moiola L, Colombo B, Comi G, et al. The Communication of Multiple Sclerosis Diagnosis: The Patients' Perspective. Mult Scler Int 2015;2015:353828. doi: 10.1155/2015/353828. DOI: https://doi.org/10.1155/2015/353828

Aoun SM, Breen LJ, Edis R, Henderson RD, Oliver D, Harris R, Howting D, O'Connor M, Birks C. Breaking the news of a diagnosis of motor neurone disease: A national survey of neurologists' perspectives. J Neurol Sci 2016;367:368-74. doi: 10.1016/j.jns.2016.06.033. DOI: https://doi.org/10.1016/j.jns.2016.06.033

Aoun SM, Breen LJ, Oliver D, Henderson RD, Edis R, O'Connor M, et al. Family carers' experiences of receiving the news of a diagnosis of Motor Neurone Disease: A national survey. J Neurol Sci 2017;372:144-151. doi: 10.1016/j.jns.2016.11.043. DOI: https://doi.org/10.1016/j.jns.2016.11.043

Aoun SM, Breen LJ, Oliver D, Henderson RD, Edis R, O'Connor M, et al. Family carers' experiences of receiving the news of a diagnosis of Motor Neurone Disease: A national survey. J Neurol Sci 2017;372:144-151. doi: 10.1016/j.jns.2016.11.043 DOI: https://doi.org/10.1016/j.jns.2016.11.043

Domínguez D, Álvarez, J. Redes sociales y espacios universitarios. Conocimiento e innovación abierta en el espacio iberoamericano del conocimiento. RUSC 2012;9(1):51-64

Poole R, Smith D, Simpson S. How Patients Contribute to an Online Psychoeducation Forum for Bipolar Disorder: A Virtual Participant Observation Study. JMIR Ment Health. 2015;2(3): e21. Doi:10.2196/mental.4123 DOI: https://doi.org/10.2196/mental.4123

Suriá MR, Beléndez VM. Grupos de apoyo virtuales dedicados a problemas de salud: estudio de su tipología y análisis de su representatividad. Anal Psicol 2011;217(1): 210-220.

Trujillo de los Santos Z, Paz-Rodríguez F, Sánchez-Guzmán MA, Nava-García G, Zamora RP, García-Pastrana C, et al. Estudio piloto en cuidadores de pacientes con enfermedades neurológicas, sobre el significado y conocimiento de cuidados paliativos. Acta Bioeth 2015;21(2): 191-198. DOI: https://doi.org/10.4067/S1726-569X2015000200005

Martín del Campo A, Romero-Cabello R, Sánchez CJ, P. Ángeles Moreno AC, Romero-Feregrino R, Bustamante-Rojano JJ, et al. ¿Cómo transmite malas noticias el médico especialista? Estudio realizado con médicos especialistas del Hospital General de México. Rev Med del Hosp Gen (Mex) 2012;75(2):76–83.

Stern JM, Cendes F, Gilliam F, Kwan P, Ryvlin P, Sirven J, et al. Neurologist-patient communication about epilepsy in the United States, Spain, and Germany. Neurol Clin Pract. 2018;8(2):93-101. doi: 10.1212/CPJ.0000000000000442. DOI: https://doi.org/10.1212/CPJ.0000000000000442

Laxe S, Capdevila E. La comunicación de malas noticias en el daño cerebral adquirido: ¿mucha ciencia pero tal vez poca complacencia? Rehabilitación (Madr). 2015;49(1):1-3. http://dx.doi.org/10.1016/j.rh.2014.07.003 DOI: https://doi.org/10.1016/j.rh.2014.07.003

Verlinde E, De Laender N, De Maesschalck S, Deveugele M, Willems S. The social gradient in doctor-patient communication. Int J Equity Health 2012 Mar 12;11:12. doi: 10.1186/1475-9276-11-12. DOI: https://doi.org/10.1186/1475-9276-11-12

Padilla, EM, Sarmiento-Medina P, Ramirez-Jaramillo A. Percepciones de pacientes y familiares sobre la comunicación con los profesionales de la salud. Rev Salud Pública (Bogotá) 2014;16(4):585-596. doi:https://doi.org/10.15446/rsap.v16n4.40556 DOI: https://doi.org/10.15446/rsap.v16n4.40556

Martins RG, Carvalho IP. Breaking bad news: patients' preferences and health locus of control. Patient Educ Couns 2013;92(1):67-73. doi: 10.1016/j.pec.2013.03.001. DOI: https://doi.org/10.1016/j.pec.2013.03.001

García-Reyes W, Lara-Solares A, Guevara-López U, Flores-Rebollar A, Loaeza-Del Castillo A. Cómo se dan las malas noticias de enfermedad terminal por un grupo médico no especializado en cuidados paliativos. Rev Mex Anest 2008;31(1);9-14

Hamui A, Grijalva M, Paulo-Maya A, Dorantes- Barrios P, García-Tellez S, Duran- Pérez V, et al. Las tres dimensiones de la comunicación paciente: biomédica , emocional e identidad cultural. Revista CONAMED, 2015;201(1): 17-26.

Toivonen AK, Lindblom-Ylänne S, Louhiala P, Pyörälä E. Medical students' reflections on emotions concerning breaking bad news. Patient Educ Couns 2017;100(10):1903-1909. doi: 10.1016/j.pec.2017.05.036. DOI: https://doi.org/10.1016/j.pec.2017.05.036

Published

2023-10-28

How to Cite

Trujillo de los Santos, Z., Paz Rodríguez, F., & Sánchez Guzmán, M. A. (2023). The impact of bad news on neurological diseases: the challenge in doctor-patient communication. Archivos De Neurociencias, 29(1). https://doi.org/10.31157/an.v29i1.623

Issue

Section

Original Articles

Most read articles by the same author(s)