What is the most honest approach when discussing prognosis with the patient and family?

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Discussing prognosis honestly with the patient and family centers on clear, compassionate communication that respects autonomy and supports informed decisions about care. When you share honest information about the client’s status, you enable meaningful conversations about goals of care, preferences, and future planning. Present the realities with empathy, in plain language, and check for understanding, while inviting questions and offering ongoing support. Include the patient whenever possible and involve family or trusted supporters as appropriate, since they often play a key role in decision-making and providing support. Timing should match readiness, with information revisited as needed. Avoiding prognosis, speaking only to the patient or delaying discussions, can erode trust, hinder planning, and lead to care that doesn’t align with the patient’s or family’s values.