Table 2 Summary of disclosure behaviours
From: Appropriate disclosure of a diagnosis of dementia: identifying the key behaviours of 'best practice'
| Â | Category (number of behaviours) | Sub-categories (number of behaviours) |
|---|---|---|
1 | Preparing for disclosure (31) | • Plan disclosure meeting (14) |
|  |  | • Arrange post-diagnosis support (2) |
|  |  | • Establish rapport (3) |
|  |  | • Prepare the patient (4) |
|  |  | • Elicit preferences for disclosure (8) |
2 | Integrating family members (10) | • Identify & involve appropriate family members (4) |
|  |  | • Manage differing information needs of patient & family (2) |
|  |  | • Avoid collusion with family members (4) |
3 | Exploring the patient's perspective (13) | • Explore patient ideas (11) |
|  |  | • Elicit patient expectations (2) |
4 | Disclosing the diagnosis (33) | • Tailor information to patient preferences & ideas (7) |
|  |  | • Check understanding (7) |
|  |  | • Explore the meaning(s) of the diagnosis (12) |
|  |  | • Discuss prognosis (7) |
5 | Responding to patient's reactions (24) | • Explore the patient's emotional response (11) |
|  |  | • Elicit & address patient questions & concerns (13) |
6 | Focusing on quality of life & well-being (17) | • Foster hope (9) |
|  |  | • Explore coping strategies (8) |
7 | Planning for the future (41) | • Clarify follow up arrangements (8) |
|  |  | • Discuss support services available (7) |
|  |  | • Negotiate management plan (19) |
|  |  | • Discuss prevention & health promotion (7) |
8 | Communicating effectively (51) | • Develop rapport (5) |
|  |  | • Use appropriate verbal & non-verbal communication (20) |
|  |  | • Use active listening skills (5) |
|  |  | • Involve the patient (8) |
|  |  | • Structure & signpost the consultation (7) |
|  |  | • Consider issues of anti-discriminatory practice (6) |