BREAKING BAD NEWS IN CANCER PATIENTS: THE MISSION OF CLINICIAN
Journal Name:
- İstanbul Tıp Fakültesi Dergisi
Key Words:
Keywords (Original Language):
| Author Name | University of Author |
|---|---|
Abstract (2. Language):
Cancer is a fatal disease that interrupts human life unexpectedly. It is known as the most common reason for
death following the deaths from cardiac disorders. In most people, the term “cancer” has been associated
with death because there is almost no one who has not met someone with cancer within his/her social medium.
Therefore, the psychosocial problems created by cancer diagnosis are inevitable. Normal response to
cancer diagnosis varies from nervousness, anxiety, denial of the disease due to grief over the loss of health,
and perceiving the progress of the disease as a battle to recognition of the disease as part of fate. In the literature,
the expression of a fatal disease has been termed as “breaking bad news”. Reporting the bad news to
a patient is really a hard task for physicians because inability to predict how the patient and his/her relatives
will react and lack of awareness on how to handle their reactions on the part of physician is a difficult situation.
Generally, the experience and personality type of the reporting physician affect the style of informing.
Review of the talks held in evaluating the diagnosis, treatment, and progression of the disease with the patient
will guide us in determining whether our style of expression and our manner meet the needs of the patient.
This signifies the importance of education in communication skills. However, to date, patient-physician
communication has not been a standard part of medical training curricula. In this review, the ideal framework
for reporting bad news has been evaluated.
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Abstract (Original Language):
Kanser, insan hayat›n› beklenmeyen flekilde kesintiye u¤ratan ölümcül bir hastal›kt›r. Günümüzde kardiak
nedenli ölümlerden sonra en s›k ölüm nedeni olarak bilinmektedir.Ço¤u insanda kanser kelimesi ölüm ile
ba¤daflt›r›lmaktad›r. Zira yak›n çevresinde kanserden dolay› s›k›nt› çeken birisini görmeyen yok gibidir. Dolay›
s›yla böyle bir tan›n›n insanlarda oluflturaca¤› psikososyal sorunlar kaç›n›lmazd›r. Kanser tan›s›na normal
yan›t; endifle, gerginlik kaybedilen sa¤l›k için keder ve üzüntüden hastal›¤›n önemini yads›ma, bu süreci
savafl gibi alg›lama yada kaderci bir kabullenmeye kadar de¤iflir. Ölümcül hastal›k tan›s›n›n söylemi literatürde
kötü haber verme olarak adland›r›lm›flt›r. Kötü haberi vermek hekimler aç›s›ndan da hastaya söylenmesi
gerçekten zor bir görevdir. Hastan›n ve ailesinin nas›l tepki verece¤ini kestirememe ve bu tepkilerle
nas›l bafl edilece¤inin bilinememesi hekim aç›s›ndan s›k›nt›l› bir durumdur. Genellikle hekimin deneyimleri
ve kiflilik yap›s› söylem tarz›n› belirlemektedir. Hastalar ile tan›y›, hastal›kla ilgili tedavi ve seyri hakk›
nda yap›lan konuflmalar› gözden geçirdi¤imizde, anlat›m ve tav›rlar›m›z›n hastalar›n ihtiyaçlar›n› karfl›lay›
p karfl›lamad›¤›n› de¤erlendirebiliriz. Bu da iletiflim becerileri konusunda e¤itim alman›n önemini ortaya
koymaktad›r. Halbuki halen hekim - hasta iletiflimi standart t›p e¤itiminin bir parças› olamam›flt›r. Bu yaz›-
da kötü haber vermenin ideal flartlar› irdelenmifltir
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