Top Tweets for #TruthWithKindness
@cswhite100 @ProfMarkTaubert This is such an insightful article.
#TruthWithKindness is essential if people are to live the way they would choose.
We can't make #UnwelcomeNews better, but we can offer it gently.
https://t.co/7sxz1pjhIk
Honesty doesnโt destroy hopeโit builds it on solid ground.
Palliative care believes patients deserve the truth, shared with compassion.
๐๐ฑ
#TruthWithKindness #PalliativeEthics
@mags_hood @DrLindaDykes Tricky, isn't it? Yet being upset is part of getting to grips with an unwanted reality, and blaming the bearer of unwelcome news has a very long history.
Thanks for being honest.
Being given #TruthWithKindness is essential if people are to have a chance to do things their way.
Did I mention I'll be visiting Canada this autumn?
While I'm the guest of @HMChochinov at @CancerCareMB, I'll be talking about how we tell #TruthWithKindness & the talk will be accessible on-line if Winnipeg isn't handy for you.
Infoโฌ๏ธ
Thanks @CancerCareMBFdn
1pm CDT = 6pm in UK.
Dr Kathryn Mannix at CancerCare Manitoba!! @CCMB_Research @CancerCareMB @umanitoba @umanitoba @VirtualHospice @drkathrynmannix @UM_RadyFHS @jossreimer @CSPCP_SCMSP @WaitingRoomRev @drgigiosler @whpca @CdnMedHallFame @CMA_Docs @DoctorsManitoba @JillianHortonMD @KatharineSmart
a3b) Ask me about the time I made a client cry over my proposed updates to her Pepto-pink photography website.
#honesty #ClientFirst
#TruthWithKindness
#FreelanceChat
@EvidenceMatters @SarahChapman30 @drmarkporter @CochraneUK @scottamurrayed Absolutely.
Our emotions mustn't get in the way of telling #TruthWithKindness.
I'm sorry you weren't given clear information that helped you to make sense of what was happening.
@gllp Very well done!
It's so important to give #TruthWithKindness (& for you, with humour ๐) to people who want honesty.
I once had a patient tell me
"If it's bad news, tell my wife."
V difficult all round if there are different versions of 'the truth' being told.
Bravo, Natasha!
@LucyGoBag @lucypgeridoc Thanks Lucy.
#TruthWithKindness can feel hard to tell, can't it? Perhaps we should all be more aware of the strength of teamwork, where one of us speaks on behalf of all of us instead of ploughing their own, sometimes mistaken, furrow.
@Laconic_doc @doctor_oxford @Liz_ORiordan @JBBC Then, having heard loved ones' (or patient's) best hopes/worst dread, orientate to possible clinical outcomes using the same simple, non-medical language.
'Our best hope is
'Other possibilities include
'The worst-case scenario is...'
Give time to reflect.
#TruthWithKindness
2/2
@Drlesleyfish What a tender conversation.
#TruthWithKindness is something your patient valued you for. Thanks and bravo for stepping up. Virtual hug definitely attached.
@drkathrynmannix Such gentle yet powerful and profound words Kathryn. They are a powerful reminder that we can find tender ways to support those who are dying and their loved ones when they find themselves in the grey space that can come towards the end of life.
Love your #TruthWithKindness
@ireland 'I am so sorry to tell you, but I fear your dear person is
...too sick to survive this
...becoming too sick for us to save her life
...so sick now that he may not live much longer
...between living & dying. This could go either way. We have to watch & wait...'
#TruthWithKindness
@lauren_cns @AlexSmithMD @nytimes Judging when, how & whether to tell bad news when someone is using denial is essential: moving from denial to knowledge with all its associated emotions is shocking. Reaching new emotional equilibrium takes time & work. Close to death, time runs out.
#TruthWithKindness
1/
@amitashuri ...but pace it gently, speak with kindness, use unambiguous words but don't let bad news feel like an assault...
'I'm very worried that...'
'It's looking possible that...'
'We're beginning to realise that...'
#TruthWithKindness
@NicolaSugden Found this today, Nicola, while I'm thinking about #TipsForNewDocs as the Foundation doctors begin their new posts.
What a precious memory, a gift from the doctor who had the compassion & wisdom to tell you all #TruthWithKindness
๐งก
@drjohannap @mrsapea Good work: it's upsetting to discover that a person we love is in danger of dying during their current hospital admission. But it's far more upsetting to realise when it's too late.
Glad to hear your #ParallelPlanning has resulted in your patient's recovery.
#TruthWithKindness
@sarah16107480 @Eonisophil Thanks, Sarah, I definitely agree.
Sorry about delayed response @Eonisophil - my Twitter really exploded today!
Always need to listen fully to disagreement. Our job is to explain, not persuade, telling #TruthWithKindness.
@CACEnotes Thank you.
Wise words, research-based advice, and kind to patient, family and, so importantly, to practitioners.
#UnwelcomeNews
#TruthWithKindness
#MedEd
A reflection on #TruthWithKindness from @emily_fri
Short sentences
No need for detail
The truth in unambiguous words:
-sick enough to die
-too sick to survive this
-may not be strong enough to survive the night
-we can comfort but not cure this
Then wait in companionship.
Sometimes patients and families ask us very direct questions like, โis he going to get better?โ
Iโve found that one of our (my) subconscious defense mechanisms in response to the discomfort of directly answering is to answer it in as many words as possible.
Another reminder:
We can use euphemisms, avoid real conversations, & let dying approach unrecognised. That is unkind.
We can use D-words with enormous compassion, offer companionship in a hard place, & enable understanding.
#TruthWithKindness
Thanks @thanh_neville
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