Delivering bad news and engaging in end-of-life discussions is extremely challenging for nurses and how they engage with the patient has a significant impact on how this news is received. Without proper education and then providing the opportunity to practice this skill, leads to discomfort and uncertainty often resulting in nurses and other healthcare providers being emotionally disengaged from patients. Patient’s generally desired open and empathetic disclosure of a terminal diagnosis and end-of-life discussions.
Marie MacDonald (pronouns she/her) is a 30-year-old who was diagnosed with left-sided breast cancer 9 months ago. She had a left lumpectomy and radiation. She has completed 6 treatments of chemotherapy and is currently receiving systemic therapy (Herceptin). Since her last clinic visit (3 weeks ago), she has experienced increased headaches.
The oncologist arranged a CT scan which has been completed. Marie is in for a follow-up appointment and CT results. She reports increasingly severe headaches, blurred vision and unsteady gait. She is now meeting with Dr. Rose and the clinic nurse Clair MacLean who has been her primary medical oncology team since diagnosis.
Game focus:
This virtual simulation game focuses on effective communication strategies when a patient/client is given bad news and engaging in end-of-life discussions.
Suggested target audience:
Nursing students in chronic or palliative care courses.
Content developed by:
