Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2008;31(1):7-12.
doi: 10.1080/10790268.2008.11753975.

Breaking the news in spinal cord injury

Affiliations
Review

Breaking the news in spinal cord injury

Steven Kirshblum et al. J Spinal Cord Med. 2008.

Abstract

Breaking the bad news in terms of prognosis for significant motor recovery following a neurologically complete spinal cord injury (SCI) is one of the most difficult tasks for the spinal cord medicine specialist. Learning the skills to facilitate this communication is extremely important to better assist patients to understand their prognosis as well as foster hope for their future. If bad news is delivered poorly it can cause confusion and long-lasting distress and resentment; if done well, it may assist understanding, adjustment, and acceptance. This article provides the physician who cares for patients with SCI with some concepts to consider when discussing prognosis with patients and their families.

PubMed Disclaimer

References

    1. Kirby RS. Breaking bad news. Prostate Cancer Prostatic Dis. 1998;1:177–178. - PubMed
    1. Lohne V, Severinsson E. Hope during the first months after acute spinal cord injury. J Adv Nurs. 2004;47:279–286. - PubMed
    1. Dewar A. Nurses' experiences in giving bad news to patients with spinal cord injuries. J Neurosci Nurs. 2000;32:324–330. - PubMed
    1. Ditunno JF, Flanders A, Kirshblum SC, Graziani V, Tessler A. Predicting outcome in traumatic SCI. In: Kirshblum SC, Campagnolo D, DeLisa JA, editors. Spinal Cord Medicine. Philadelphia, PA: Lippincott/Williams & Wilkins; 2002. pp. 108–122.
    1. Kirshblum S, O'Connor K. Levels of injury and outcome in traumatic spinal cord injury. Phys Med Rehabil Clin N Am. 2000;11:1–27. - PubMed

Publication types