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Communicating a Dementia Diagnosis in Primary Care: Turning a Difficult Moment into a Skilled Conversation”

WednesdayJuly 1st5:10 - 6:10233 M

Marie Thérèse LUSSIE

The prevelence of dementia is increasing in western societies and it is associated with a high disease burden.  The disclosure of a dementia diagnosis during a clinical counsultation  brings with it a great deal of discomfort and anxiety for patients, their loved ones, and also for primary care (PC) physicians, who often feel ill-equipped to address such a sensitive subject. Rigorous communication approaches have been developed to lessen the devastating impact of delivering bad news and ensure that the clinical consultation proceeds smoothly. The SPIKES approach to doctor-patient communication is particularly useful for structuring the stages of an interview to disclose a dementia diagnosis-Discuss the barriers related to the environment, the provider, or the patient that hinder a smooth disclosure of a dementia diagnosis. -Apply specific strategies to mitigate these barriers during clinical encounters involving the disclosure of a dementia diagnosis. -Conduct these disclosure conversations following the steps of the SPIKES model, adapting one’s communication style to the characteristics of the illness, the patient’s and caregiver’s sociocultural background and preferencesTEACHING METHODS: Short theoretical presentation; Wooclap interactive session; guided role-play WORKSHOP SCHEDULE: 0:00 – 0:05 (5 min) Welcome & Brief overview of workshop goals 0:05 – 0:15 (10 min) Experience Sharing & Framing the Challenge with disclosing a dementia diagnosis/Why communication matters in this context 0:15 – 0:25 (10 min) Key Barriers in Dementia Diagnosis Disclosure/ Brief strategies to overcome these barriers 0:25 – 0:35 (10 min) Core Principles of the SPIKES Model 0:35 – 0:52 (17 min) Clinical Case – Guided Role Play/Short scenario/Participants take turns practicing key steps of the model/Focus on communication techniques rather than diagnostic reasoning 0:52 – 1:00 (8 min) Key Take-Home Messages & Workshop Evaluation/Summary of practical strategies/Participant feedbackParticipants will better identify the practical steps they need to follow when disclosing a dementia diagnosis and the common pitfalls they need to avoid to lessen the choc of being diagnosed with such a chronic debilitating disease.Improving primary care providers' specific communication skills to deliver this type of bad news will contribute to a more positive patient experience of this difficult moment.