Simple mnemonic for the management of Heart failure;
Don't Always Be Silly Doctor
I learnt to check the notes really thoroughly before reviewing patients.
I glanced at the notes of a patient on my ward and saw previous patient summaries and assumed I was prepared to review a well patient.
I had a 30 minute conversation with the lady complaining about a lot of things that I hadn't realised had happened.
I then told the F1 that he needed to talk to her. He looked through the notes and saw she had Vascular Dementia mentioned at clerking, and when he asked her of her complaints earlier she said she didn't have any.
Because I didn't read the notes for an extra minute I took up extra time for me and my F1
The three cardinal things in communication is - be firm, be nice and be fair.
Be firm - If you are meant to break the bad news, break it!
Be nice - Say 'I am sorry that...' if needed ...only if you meant it
Be fair - Let the patient know about your limitations and dilemmas.Sometimes you have to do something because of the law and professional guidance.
And this weeks winner is Laura, but strong competition from Dickson and Joe. Chocolate in the teaching fellows room. More next week so keep thinking
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