inform /ɪnˈfɔːm/:

اطلاع دادن

I am very sorry that I must inform you that the results are not what we had hoped for.

initial /ɪˈnɪʃl/:

اولیه

The patient's initial reaction was silence, which is a common response to shock.

insist /ɪnˈsɪst/:

اصرار کردن

Even if the family members insist on knowing the diagnosis first, you must respect the patient's right to hear it directly.

instead /ɪnˈsted/:

به جای

Instead of overwhelming the patient with too much information, it's best to give the news in small chunks.

instruction /ɪnˈstrʌkʃn/:

دستورالعمل، راهنمایی

My main instruction to the junior doctor was to ensure the setting was private before breaking the bad news.

intend /ɪnˈtend/:

قصد داشتن

I intend to give you the headline results now, and we can discuss the finer details once you've had time to process this.

intention /ɪnˈtenʃn/:

قصد، نیت

My intention is to be completely honest with you while also providing hope and a clear plan for what happens next.

interpret /ɪnˈtɜːprɪt/:

تفسیر کردن

It is crucial that you do not try to interpret the patient's silence; instead, give them space and time.

interrupt /ˌɪntəˈrʌpt/:

حرف کسی را قطع کردن

It is vital that you do not interrupt the patient while they are expressing their emotional reaction to the news.

interview /ˈɪntərvjuː/:

مصاحبه، گفتگو

This is not just a delivery of facts; it is an interview where we must also listen to the patient's fears and concerns.

introduce /ˌɪntrəˈdjuːs/:

معرفی کردن، مطرح کردن

Let me introduce the next step in this process, which is a referral to a specialist oncology team.

introduction /ˌɪntrəˈdʌkʃn/:

مقدمه

The introduction to this difficult conversation should involve a "warning shot" to prepare the patient.

investigate /ɪnˈvestɪɡeɪt/:

بررسی کردن

The next step is to investigate further with a CT scan to determine if the disease has spread.

investigation /ɪnˌvestɪˈɡeɪʃn/:

بررسی، تحقیق

This biopsy was the final investigation needed to confirm the diagnosis.

involve /ɪnˈvɒlv/:

شامل شدن، درگیر کردن

The next stage of your care will involve a multidisciplinary team of experts.

involved /ɪnˈvɒlvd/:

درگیر

I want you to be fully involved in every decision we make on this journey.

issue /ˈɪʃuː/:

موضوع، مسئله

The primary issue we need to discuss today is the result of your recent biopsy.

journey /ˈdʒɜːni/:

سفر، مسیر

I want to reassure you that you will not be alone on this journey; our team will support you every step of the way.

judge (v.) /dʒʌdʒ/:

قضاوت کردن

It is not our place to judge a patient's emotional reaction, whether it is anger, sadness, or denial.

judgment /ˈdʒʌdʒmənt/:

قضاوت

A good doctor delivers bad news without personal judgment, focusing only on the clinical facts and the patient's emotional needs.

Breaking Bad News /ˌbreɪkɪŋ bæd ˈnjuːz/:

دادن خبر ناگوار

Breaking bad news is one of the most challenging communication tasks in medicine.

Counselling /ˈkaʊnsəlɪŋ/:

مشاوره

We can offer you an urgent referral for counselling to help you process this difficult news.

Denial /dɪˈnaɪəl/:

انکار

Denial is a common initial reaction; it's important to be gentle but clear about the clinical facts.

Grief /ɡriːf/:

سوگ، اندوه

A diagnosis of a serious illness can trigger a grief response, which involves many different emotions.

Outlook /ˈaʊtlʊk/:

چشم‌انداز، پیش‌آگهی

While the diagnosis is serious, the long-term outlook for this type of cancer is quite positive with modern treatment.

Palliative Care /ˈpæliətɪv ker/:

مراقبت تسکینی

I am referring you to the palliative care team, not because we are giving up, but because they are experts in managing symptoms and improving quality of life.

SPIKES protocol /spaɪks ˈproʊtəkɒl/:

پروتکل اسپایکس

Following a structured method like the SPIKES protocol can make the conversation less distressing for both the patient and the doctor.

Support System /səˈpɔːrt ˌsɪstəm/:

سیستم حمایتی

It's important that we identify your main support system—family or friends—who can help you through this journey.

Unfavorable Diagnosis /ʌnˈfeɪvərəbl ˌdaɪəɡˈnoʊsɪs/:

تشخیص نامطلوب

I'm very sorry to have to give you an unfavorable diagnosis. The biopsy has confirmed the presence of cancer cells.

Warning Shot /ˈwɔːnɪŋ ʃɒt/:

هشدار اولیه

A warning shot like, "The news is not what we had hoped for," gives the patient a moment to prepare themselves emotionally.