Breaking Bad News - Video OSCE | HOPE HMKU FK Unud

Summary

In a heartfelt conversation, Dr. Dea informs Alex, a worried father, about his child's critical condition following a serious accident. The child is in a coma due to a severe head injury and requires a ventilator to breathe. Despite intensive care, the child's condition has worsened, indicating brain death, which Dr. Dea delicately explains. He emphasizes the importance of discussing this situation with family before making a painful decision about removing life support. The dialogue highlights the emotional weight of such medical decisions and the need for compassion and understanding during such difficult times.

Takeaways

• 😷 Dr. Dea introduces herself and reassures Pak Alex about the care of his child.
• 😰 Pak Alex expresses extreme worry about his child's condition after an accident.
• 🏥 The child was admitted to the Emergency Unit in an unconscious state.
• 🧠 The medical team informs Pak Alex of the child's brain trauma and coma.
• 🚨 After 48 hours of intensive care, the child's condition has deteriorated further.
• 💔 Brain death is confirmed despite the physical appearance of the child remaining stable.
• 💡 Dr. Dea explains the implications of brain death and the child's reliance on a ventilator.
• 😔 Pak Alex grapples with the devastating reality of his child's situation.
• 🗣️ Dr. Dea encourages Pak Alex to discuss the situation with his family before making decisions.
• 🙏 The conversation emphasizes the need for empathy and clear communication in difficult medical situations.

Q & A

What is the primary concern expressed by Pak Alex during the conversation?

Pak Alex expresses deep concern about his child's health, feeling anxious and unable to sleep due to worry about the child's condition.

What medical condition has the child suffered from?

The child has suffered a head trauma resulting in a coma, and has shown signs of brain death after intensive care.

What specific injuries did the child sustain from the accident?

The child sustained trauma to the head, leading to a coma and internal bleeding in the brain.

How did Dr. Dea convey the severity of the child's condition to Pak Alex?

Dr. Dea carefully explains that the child is in a coma and has experienced brain death, while also emphasizing the need for understanding and decision-making regarding the child's care.

What does the term 'brain death' signify in this context?

Brain death indicates that the child's brain stem functions have permanently ceased, meaning the child is medically considered deceased despite the heart still beating due to life support.

What options does Dr. Dea suggest to Pak Alex regarding his child's treatment?

Dr. Dea suggests that Pak Alex may need to consider discontinuing the ventilator, which is keeping the child's heart beating, indicating the need for family discussions before making this decision.

What emotional support does Dr. Dea offer to Pak Alex during this difficult time?

Dr. Dea offers to help Pak Alex communicate the situation to his family, providing emotional support and guidance in understanding the medical information.

Why is it important for Pak Alex to discuss the situation with his family?

It is important for Pak Alex to discuss the situation with his family to ensure they are all informed and can collectively make a decision regarding the child's care.

How does Dr. Dea suggest Pak Alex should prepare for the next steps?

Dr. Dea suggests that Pak Alex should take time to speak with his wife and family about the child's condition and the potential decision to withdraw life support.

What does Dr. Dea summarize at the end of the conversation?

Dr. Dea summarizes that the child suffered a serious head injury leading to a coma and brain death, and recommends that the family consider the difficult decision of letting go.