Breaking bad news (Badly) to the mafia boss - A Thread

Things kick off when the tells Tony he’s “ now palliative”
It’s not started well so try to get the boss to tell you his story
DNACPR conversation attempt with no context leads to further breakdown in communications
Use of the phrase “you may now be sick enough to die Tony” has suprising results... there is some hope
Tony starts to reflect on his life choices...best to use non verbal communications here. Silence is a powerful tool (also safer here)
Empathy and compassion: two different things. Maybe try compassion with the mafia boss but don’t overdo it
Time for a family meeting
Beware of unsuspected complex family dynamics. Remember it is still best to focus on the mafia boss
Some people will react with denial
Anger
Depression
Then acceptance: Pauli back to himself
Remember patient confidentiality. Mafia guys demonstrate this well
Tony achieved a holistic outcome through your determination.
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