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Breaking a Bad News| Mother's concern about her child.

Breaking a Bad News| Mother's concern about her child. *Setting : Waiting room - Emergency Department*

Nurse : You are speaking to a mother of a 6-year-old boy ,Aiden, who was brought to the hospital this morning with a 2-week history of headaches and vomiting. The doctor ordered an MRI scan which revealed a tumor at the back of his brain on the right side. The patient had to be sedated before the MRI scan to remain still during the procedure due to which MRI took longer time. At present, he's under observation. He has been admitted to the hospital for a surgery. The doctor has informed the mother about MRI result and surgery. She is stressed and completely shocked with this information.

*Task:*

- Emphasize with the mother and reassure her about her son's recovery.

- Explain why the MRI was delayed and tell her that she will be able to see her son shortly.

- When asked, explain that surgery is safe and her son's pain will be managed with medication.

- Respond in a positive way to mother's questions about reoccurrence of a tumor (doctor believes a tumor is non-cancerous , not likely to return, MRI test after operation for some months for monitoring) and potential problems after the surgery ( possibility of problems with physical abilities or behaviour, or speech difficulties).

- Reassure her about follow-up care after discharge ( Occupational therapists, Physical therapist, Speech therapists, and Visiting nurses support group for connecting with caregivers).

- Encourage her to look after herself and not feel guilty about her son's condition.

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