Table 3.
Phases | Setting | Content |
---|---|---|
Activation and coordination | Telematic coordination between HCT and EOL team after detection of the death of an inpatients' loved one. | Coordinate how to manage the information in between patients, HCT and families. |
Initial contact | Telematic contact between the EOL team and relatives. | Assessment of needs - Doubts regarding safety issues at the hospital or safepass to come - Doubts about how to deliver the bad news - Emotional state and needs Schedule an appointment to come deliver the bad news |
Meeting with the EOL team | Face-to-face meeting of the EOL team with the relative in a large private room. | Psychological support - Promote emotional expression - Normalize associated feelings (e.g., guilt) - Advise on how to deliver the bad news - Information about what reactions to expect - Information about the possibility of psychological intervention with the patient |
Bad News Communication | Face-to-face communication of the bad news to the patient by his relative in privacy in the patients' room. | Assure privacy in the delivery of bad newsProvide protection measures to prevent contagionCoordinate with HCT |
Post-intervention | Offer to the relative face-to-face meeting with the EOL team. | Psychological supportDebriefing and closure |
EOL, end of life; HCT, health care team.