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iRubric: How to Break Bad News rubric

iRubric: How to Break Bad News rubric

 
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How to Break Bad News 
The objective of this exercise is to build skills in order to initiate, advance and close an interview with a patient or patient's family regarding a difficult topic. Students will be allowed to research the topic prior to addressing the patient, discuss the application among group members and then approach the patient to discuss the difficult subject.
Rubric Code: QX9466X
Draft
Public Rubric
Subject: Medical  
Type: Assignment  
Grade Levels: Graduate


Powered by iRubric Delivery of Dismal News
  Poor

1 pts

Fair

2 pts

Good

3 pts

Overall Approach

Setting – time, space, privacy

Poor

Provides minimal effort to introduce self and has trouble with the flow and rhetoric of the interview.
Fair

Enters the room, introduces self and role with minimal trouble with the flow and rhetoric of the interview.
Good

Enters the room, introduces self and role and and begins and elicits good flow and rhetoric to the interview.
Perception

Finding out perception of the family and the patient about the illness and progress

Poor

Does not allow family members/ patients to express themselves, brush over information, presents with low interest in patient view.
Fair

Ask family how they feel about the situation but does not include following up with the discussion and clarification of the questions
Good

Includes appropriate invitation to the family about the perception of the problem. Ask specific questions about their view and perception.
Invitation

family/patient expresses a wish to discuss about the illness and management options.

Poor

Able to explain some medical implications of the diagnosis but unable to properly relay key elements of information correctly to the patient and their families.
Does not give the patient option to chose how much information is provided .
Fair

Able to explain most of the medical implications of the diagnosis but lacks a few key elements when relaying the information to the patient and their families.
Involves family in the decision and management but not allow them to properly express themselves.
Good

Able to explain all of the medical implications of the diagnosis and able to relay key elements of the management of the disease. Invite family and patient to express themselves and participate in decisions process.
Medical Jargon/Knowledge

Knowledge about the disease and management. Prepare the patient for the bad news.

Poor

Uses mostly medical jargon when explaining implications of diagnosis.
Fair

Uses some medical jargon when explaining implications of diagnosis.
Good

Uses no medical jargon, or clarifies oneself after using jargon to explain implications of diagnosis to patient.
Empathy

Poor

Displays minimal empathy when conveying information regarding diagnosis to patient and their family.
Fair

Displays some empathy when conveying information regarding diagnosis to patient and their family.
Good

Displays maximal empathy when conveying information regarding diagnosis to patient and their family.
Strategy and Summary

Summarizing the current situation , further plans for comfort care and accurate documentation

Poor

Provide minimal insight to the patient about what is next step in the process. False reassurance .
Fair

Provide some insight on the situation and options. Not able accurately to describe what is next step or to allow patients to ask more questions
Good

Involve patient and his family in the process of decisions and management .




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