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Psychological needs 8: Collusion and denial

Advanced Level

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Activity 4

You arrive at an understanding that you will not initiate a discussion about his deterioration.  John has been lightly dozing, but sits up and asks how much time he has left.  How should you respond?

What agreement would have to be agreed downstairs to enable a truthful reply
Is it your duty to tell the patient?
What are the consequences if you "fudge" it today? Do you have to sort it all out today?

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