medigraphic.com
SPANISH

Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 3

<< Back Next >>

Rev Mex Anest 2025; 48 (3)

Simulation and management of bad news in palliative care

Guevara-López U, Ascencio-Huertas L, Campos-Hernández SA, Meza-Ortiz ÓE, Muñoz-García G, Núñez-Mondragón JP
Full text How to cite this article 10.35366/120425

DOI

DOI: 10.35366/120425
URL: https://dx.doi.org/10.35366/120425

Language: Spanish
References: 14
Page: 180-183
PDF size: 722.98 Kb.


Key words:

bad news management, palliative care, simulation.

ABSTRACT

In the case of complex, progressive, and incurable diseases, healthcare personnel must explain to the patient or their family that, given the nature of the illness, the patient will not improve, including the possibility of reaching the end of life. The experience, given the nature of the subject, can be unpleasant or stressful for the clinician, the patient, family members, and caregivers. Furthermore, poor skill in communicating bad news can cause greater suffering and deteriorate the doctor-patient relationship. Conversely, good performance in this task can lessen the emotional impact, allowing for the gradual assimilation of the new reality and strengthening the doctor-patient relationship. This paper describes some aspects related to the difficulty involved in this activity. Although communicating bad news is a complex and uncomfortable matter for participants, evidence shows that the use of a humanistic, multicultural, protocol-based approach based on learning communication skills through simulation can significantly facilitate this task.


REFERENCES

  1. Williams-Reade J, Lobo E, Whittemore AA, Parra L, Baerg J. Enhancing residents' compassionate communication to family members: a family systems breaking bad news simulation. Fam Syst Health. 2018;36:523-527.

  2. Guevara-López U, Luna M, Ramirez E. Education in anesthesiology: crisis, values and perspectives. Med Res Arch. 2023;11. doi: 10.18103/mra.v11i7.2.4204.

  3. Gordillo-Navas GC, Trujillo-Martínez JD, Filizzola-Bermúdez JD. Estrategia de simulación para aplicar el protocolo SPIKES en la comunicación de malas noticias. Univ Med. 2020;61:56-64.

  4. Gómez-Sancho M. Cómo dar malas noticias en medicina. México: Manual moderno; 2019.

  5. Brito F, Darlic V. Revisión bibliográfica sobre la entrega de malas noticias en medicina e intervenciones para mejorar esta habilidad. Rev Conflu, 2020;3:135-139. Disponible en: https://revistas.udd.cl/index.php/confluencia/article/view/479

  6. Silvera L, De-Palleja MP, Álvarez C. Comunicación de malas noticias: perspectivas desde la anestesiología. Rev Chil Anest. 2024;48:395-401. doi: 10.25237/revchilanestv48n05.03.

  7. Soriano-Sánchez JG, Jiménez-Vázquez D. Una revisión sistemática sobre habilidades y técnicas para mejorar el feedback entre médico y paciente. Rev Acciones Med, 2022;1:7-21. doi: 10.35622/j.ram.2022.04.001.

  8. Jalali R, Jalali A, Jalilian M. Breaking bad news in medical services: a comprehensive systematic review. Heliyon. 2023;9:e14734.

  9. 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;31:9-14.

  10. Buckman R. Communications and emotions. BMJ. 2002;325:672.

  11. Díaz-Martínez LA, Cuesta-Armesto MH, Díaz-Rojas MJ. La formación médica en comunicación de malas noticias: una revisión narrativa. Rev Esp Edu Med. 2020;1:32-44.

  12. Arranz-Carrillo de Albornoz P. Información y comunicación con el enfermo como factor de prevención del dolor y el sufrimiento: la acogida. Dolor y sufrimiento en la práctica clínica. Monografías Humanitas. 2004;2:127-137.

  13. Bernabé-Villodre MM. Pluriculturalidad, multiculturalidad e interculturalidad, conocimientos necesarios para lamlabor docente. Rev Edu Hekademos. 2012;11: 67-76.

  14. Green M, Tariq R, Green P. Improving patient safety through simulation training in anesthesiology: where are we? Anesthesiol Res Pract. 2016;2016:4237523. doi: 10.1155/2016/4237523.




Figure 1
Figure 2

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Anest. 2025;48