![]() ![]() ![]() Usually information about the person’s illness and treatment will be given to them by their doctor, or specialist nurse. There's also information about how to start these conversations. Watch this video to find out about the difference that having conversations about the future can make, and how these conversations can help improve care for your patients. Summarising the conversation – at the end of the conversation sum up what you have understood and ask the person if you’ve missed anything.Īsking the question, "what matters to me", can help patients plan for the future and make decisions about the care they would like. ![]() ![]() Check that you have understood what they’ve said – for example if they say: ‘I’m worried about what’s going to happen next.’ You could say: ‘You said you’re worried about what’s going to happen next, what kind of things are you worried about?’.Exploring cues – for example if someone says they feel worried, you could say ‘Can you tell me more about how that feels?’.There are techniques you can use to help, including: Listening well also involves making sure that you understand how the person is feeling. You can be warm and smile but remember that you are discussing serious things.Nodding and leaning towards them can show that you’re listening.Use open postures, for example rest your hands on your thighs rather than crossing your arms.If they’re in bed, sit in a chair next to them, rather than standing above them. If possible, sit at the same level as the person.You can use your body language to make people feel more comfortable and show that you’re listening, for example: We communicate through our body language and tone of voice as well as the words we use. You could open up the conversation by saying: “You mentioned ‘X’, is that something that’s on your mind?” Listening well I wish I could see my friend one last time.I’m worried about leaving my daughter behind.For example, they might say things such as: It may be something they mention once or repeatedly. Be aware of more subtle cues that they might want to talk to you about dying. They might ask direct questions or they might start talking about death in a less obvious way. The person might open up to you and start the conversation themselves. If you were to become more unwell, who would you want to be around you?.Have you thought about what you would want to happen at your funeral?.If you were to become more unwell, what would be important to you?.It might be helpful to ask the person questions such as: It can be difficult to know how to start the conversation. You can still let people know that you are ready to talk to them if they want to in the future. Some people, and cultures, prefer not to talk about it. It’s OK not to talk about dying sometimes. make decisions about practical things including making a Will or making funeral plans – this can help them feel more in control and helps those important to them.understand more about their illness and what’s going to happen to them – this might reduce anxiety and help them make decisions about their treatment and care.express their concerns and fears – sharing these with another person can help to reduce distress and anxiety.But talking about death with someone who has a terminal illness can be very helpful for them at any stage in their illness. Talking about death or dying can bring up many uncomfortable thoughts and feelings, so wanting to avoid it is a common reaction. ![]()
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