How should I approach a follow-up conversation with a patient who has received bad news and is experiencing emotional distress?

Approach the follow-up conversation with empathy and sufficient time to allow the patient to express their feelings and concerns openly, acknowledging the emotional distress they may be experiencing.

Provide tailored information and support options, including sources of emotional and psychological support such as support groups, online forums, and referral to counselling or psychology services if needed.

Discuss the impact of the diagnosis on the patient’s life, including changes in relationships, roles, and daily activities, and explore their concerns and fears about prognosis and future uncertainties.

Involve family members or carers as appropriate to discuss their understanding and support needs, and offer them information about respite care and emotional support resources.

Ensure clear communication about how the patient can access ongoing support between scheduled appointments, including contact details for relevant clinical nurse specialists or support practitioners.

Use a patient-centred approach that respects the patient’s preferences and encourages shared decision-making about their care and support.