Supporting Families Expressing Grief While Giving Bad News

  • James BinderEmail author
Part of the Current Clinical Practice book series (CCP)


Case: David, a third year resident, enters the exam room for Andrew’s 2½-year-old well-child visit. His family recently joined the clinic practice. Andrew is running around the room. He makes fleeting contact with the adults in the room. He makes no spontaneous verbalizations. He seems to be driven by a motor. His mother appears unaware of David’s developmental problem or the severity of the condition. David becomes aware that he does not even want to be in the room with this family. He knows the mechanics of how to give bad news. Only, he had not planned on doing it this afternoon during his continuity clinic. Often the need to give bad news cannot be anticipated. David does sit down to talk to with Andrew’s mother at the conclusion of the visit. The Ages and Stages screening questionnaire identified Andrew as a child who needs a comprehensive, developmental evaluation.


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Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Marshall University School of MedicineHuntingtonUSA

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