COC
CASE STUDY
Mr. Jones: Breaking Bad News to Family
You have received a hospice referral for Mr. Jones, age 54, who has ALS
(amyotrophic lateral sclerosis). He and his family (wife and 3
children-ages 9,16, 19), who are confused and anxious, listen to you as
you describe what they should expect from the hospice experience. The
family does not seem to understand why you are discussing end-of-life
issues with them. You call Mr. Jones' family physician who tells you that
the patient assured him that he talked to his family about his prognosis.
You determine that Mr. Jones has in fact not told his family. You talk with
Mr. Jones who admits that he has told his family he is very stable and
expected to have many years of life remaining. He asks you to help him
break the reality of his poor prognosis to his family,
CAMPUS : JHANJERI, MOHALI
CGC
Discussion Questions:
1) What is your role now?
2) What communication gaps do you recognize?
3) What strategies would promote continuity of care and improve team
communication?
4) How might a family meeting be helpful in this case?
5) What special needs would you perceive the children having at this
time? How would you meet these needs?
CAMPUS JNANJERI, MOHALI
Answers
Answer:
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Case Study #1 Mr. Jones: Breaking Bad News to Family You have received a hospice referral for Mr. Jones, age 54, who has ALS (amyotrophic lateral sclerosis). He and his family (wife and 3 children age Case Study #1 Mr. Jones: Breaking Bad News to Family You have received a hospice referral for Mr. Jones, age 54, who has ALS (amyotrophic lateral sclerosis). He and his family (wife and 3 children ages 9, 16, 19), who are confused and anxious, listen to you as you describe what they should expect from the hospice experience. The family does not seem to understand why you are discussing end-of-life issues with them. You call Mr. Jones’ family physician who tells you that the patient assured him that he talked to his family about his prognosis. You determine that Mr. Jones has in fact not told his family. You talk with Mr. Jones who admits that he has told his family he is very stable and expected to have many years of life remaining. He asks you to help him break the reality of his poor prognosis to his family. Discussion Questions: 1. What is your role now? 2. What communication gaps do you recognize? 3. What strategies would promote continuity of care and improve team communication? 4. How might a family meeting be helpful in this case? 5. What special needs would you perceive the children having at this time? How would you meet these needs? English Show more
Case Study #1
Mr. Jones: Breaking Bad News to Family
You have received a hospice referral for Mr. Jones, age 54, who has ALS (amyotrophic lateral
sclerosis). He and his family (wife and 3 children ages 9, 16, 19), who are confused and
anxious, listen to you as you describe what they should expect from the hospice experience. The
family does not seem to understand why you are discussing end-of-life issues with them. You
call Mr. Jones’ family physician who tells you that the patient assured him that he talked to his
family about his prognosis. You determine that Mr. Jones has in fact not told his family. You
talk with Mr. Jones who admits that he has told his family he is very stable and expected to have
many years of life remaining. He asks you to help him break the reality of his poor prognosis to