How will you tell her? - Firstline
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How will you tell her?
It's never easy to be the bearer of bad tidings. But you can ease the hurt clients feel with a sensitive approach. Here's what you need to know to break bad news gently.


FIRSTLINE
Volume 4, Issue 1

Consider designating an area for tough discussions that's pleasant, clean, and quiet. Use soft lighting and com­fortable furnishings and avoid or eliminate visual distractions, such as clutter or a highly-trafficked coat rack, or audio distractions, such as barking dogs or talking people.

4. Make a connection

Successful communication occurs when both parties emotionally connect. So when you deliver bad news, connecting with the client is key. What makes a successful connection? It differs greatly with age, gender, familiarity, occupation, and many other factors. You'd obviously approach a 6-year-old child differently from a 36-year-old attorney, but there are universal pathways, including body language, facial expressions, and vocal tones.

My physician is the best communicator I know. He has scores of patients and many life challenges. But during our meetings, I feel I'm his only concern. He dresses in clean, professional—but not overly formal— attire and positions his chair to remove any physical barriers between us. From beginning to end, he gives me his complete attention. He maintains an open body posture, never crossing his arms or legs. He doesn't fumble with equipment or read medical charts while I'm speaking. He speaks clearly in warm vocal tones and smiles. He's calm, confident, decisive, and caring.

As it turns out, I've learned a lot from my doctor. I'm a tall man and know many of our clients are taken aback by my size, especially if I burst into the exam room. Their eyes widen as they trail toward the ceiling, searching for the uppermost limit of my body. So before I enter a room to deliver important news, a team member leaves a chair for me, and the most diminutive client towers over me. I use body language, facial expressions, and vocal tones to establish a connection. To demonstrate I listened and understood, I repeated their responses. Some say parroting back is passé, but I disagree. It's easy, effective, and surprisingly powerful.

5. Let people see inside

Clients expect veterinarians and team members to care deeply about animals and the people connected to them—and that's what they want to see. So let your guard down, open up, and show them your personal, animal-loving side.

While the discussion shouldn't focus on you, some heartfelt self-disclosure can reassure clients you understand their feelings and relate to their pain. Sometimes, I feel it's helpful and appropriate to mention my mother's losing battle with breast cancer or my father's fatal car accident or share the loss of one of my pets. And I often discuss other recent similar medical cases to show clients they're not alone.

6. Use humor


What is the risk?
Humor is highly personal—and risky. Failed humorous attempts can seem callous or inappropriate. But successful attempts can defuse otherwise difficult situations and bring sunshine into a dark world. You've just told a client her beloved pet has renal failure or metastatic cancer. Consider reminding the client how the dog stole toilet paper from her bathroom, knocked over the Christmas tree, or buried her spouse's slippers in the yard. Or mention something funny the pet did at your practice. Perhaps the patient's eyesight is failing and you reassure the owner blind animals often compensate well and it's not like her dog's a jet pilot. Clients often appreciate levity and laughter, and it changes the climate from enduring a problem to extending a worthwhile life. It shifts the focus from negative—the expense and the pet's pain—to positive—the value and joy of life.


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Source: FIRSTLINE,
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