موازين اخلاق پزشكي و اعلام خبر بد به بيماران

Medical Ethics and Bad News Delivery to Patients

Background: It has been shown that bad medical news could be associated with stressful psychological and physiological reactions both for physicians and patients. There is always a strong tendency to reduce or abolish the significant consequences of such a process through psychological reaction analyses techniques. Methods: We analyzed the main ethical considerations which exist in between and we ranked the parameter setting frames before, during and after the bad news session. Results: In this study, a relatively classical categorization system for a variety of psychological or physiological reactions as primary and secondary ones has been proposed with a mind filtration process of un-wanted or stressful ambiguous mental or behavioral reactions, both quantitatively and qualitatively. Conclusion: Mind analysis and reaction modifications both for physicians and patients at each stage of the bad news session may reduce the level or intensity of provocation hence diminishes the post-session stressful reactions of the patient. The primary mental or behavioral reactions of physicians may not be completely organized or well analyzed at early period of treatment process. It seems to be better to make a filtration process and turn into secondary more controlled reactions. This would be fruitful and may coincide with suitable, comprehensive and on-time situation analysis viewpoints.