Breaking bad news


Summary of Common Conditions Seen in OSCEs




























Condition Key issues to consider and discuss
Cancer Stage and grade
Any metastasis
Chemotherapy, radiotherapy, surgery
Macmillan team input
Diabetes Insulin or not insulin
Follow-up in primary or secondary care
Detecting and preventing complications
Can lead a completely normal life – there are many successful sportsmen with diabetes
Multiple sclerosis Variability of prognosis
Different types – relapsing/remitting, progressive
Leukaemia Recent improvements in therapy and prognosis
HIV See Chapter 51 on HIV
There have been recent huge advances in treatment
If adhere to HAART, could potentially have a normal lifestyle and life expectancy
Rheumatoid arthritis Early treatment can prevent deformity and reduce or minimise debilitation
Emergency hysterectomy Reasons for doing this as emergency – immediate threat to life

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May 17, 2017 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Breaking bad news

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