Conversation 3: Poor example

Location, own home. In the room is D/N , Patient and Daughters Laura and Sasha. 1 year later assessment of symptom control /care planning.

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Lacks warmth - missing opportunity to develop a rapport
Doesn't introduce herself

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Doesn't give the background information re letter from hospital
Unprofessional to imply conflict between teams - patients and families do not need to know the detail
Focusing on the practical and not responding to the emotional cues

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Doesn't check with Tim if this is ok with him - misses opportunity to explore the obvious decline - doesn't mention the discussion with the GP and how they are all coping with that
Lack of assessment before changing dose medication

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Lack of a clear plan
Almost patronising
Misses cue re bereavement issues
Never say I know how you feel- you can't... as each individual is an individual with a personal; response to each situation they have to face.

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