Jun 21st, 2015
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Module 6: Communication Case Studies Please Note: All case studies are intended to be generic so that substitutions can be made, according to your own clinical roles. For example, if a case study mentions a patient with a medical condition, you can substitute the disease cancer, so that it would be appropriate for oncology nurses, or visa-versa. You may also insert APRN for nurse practitioners, clinical nurse specialists, etc. In addition, hospice/palliative care nurses can review each case study, as though they were consulting on each of these case studies. Feel free to adjust the case studies so they are relevant to your participants clinical practice/needs. Module 6Case Study #1Mr. Jones: Breaking Bad News to FamilyYou have received a hospice referral for Mr. Jones, age 54, who has ALS (amyotrophic lateral sclerosis). He and his family (wife and 3 childrenages 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

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