Breaking bad news - What should we do in this scenario?Created by:
An elderly women, with background histoy of osteoporosis, mild cognitive impairment, previous bilateral hip replacement, hypertension, previous stroke, and peripheral vascular disease, was initially admiited due to weight loss, change in bowel habit, and iron deficiency anaemia,. Coloscopy showed a big colonic tumour at hepatic flexure, and CT-TAP showed liver metastasis of tumour. You have informed the family members (next-of-kin) to come in, to plan to break the bad news to the patient, and the family memebers, so that the patients will have emotional support during the stage of breaking bad news. But, the family members have informed you that please do not tell anything to the patient as she will not be able to accept the bad news, and she is not willing to know about anything bad happen to her. The family members insisist of only letting them know about the bad news and prognosis. What will you do in this scenario ? How would you approach the patient? Will you inform the patient the bad news??