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Breaking Good News

In general, medical practice bad news usually is thought to be information that will drastically alter a patient’s view of his or her future. This is necessarily dependent on their expectations at the time; how ill or well they feel; whether or not they already know what you are going to tell them, and whether or not they suspect the diagnosis or the current state of the illness (Buckman, 1984). From early in the undergraduate curriculum there is evidence that breaking bad news to patients is difficult and problematical for most doctors (Field and Howell, 1986).