Breaking bad news: Guidance on disclosing a dementia diagnosis

03/04/25 at 03:00 AM

Breaking bad news: Guidance on disclosing a dementia diagnosis 
Medscape; by Megan Brooks; 3/3/25 
As biomarker testing for Alzheimer’s disease (AD) evolves, timely and compassionate disclosure of a diagnosis is more complex than ever. Yet, clinicians may struggle with how — or in some cases whether — to disclose that a patient has mild cognitive impairment (MCI) or dementia. A recent perspective offers a practical roadmap to help clinicians navigate these challenging conversations. The authors from the Perelman School of Medicine, University of Pennsylvania, Philadelphia, noted that disclosure of a dementia diagnosis “is particularly nuanced and requires a conscientious approach. Clinicians must assess patients’ understanding and appreciation of symptoms, goals for the evaluation, and desire for information.” 

  • Key Barriers to Diagnostice Disclosure ...
  • Is It Ever Okay Not to Disclose a Diagnosis? ...
  • The Triad Approach: Patient - Care Partner - Clinician ...
  • SPIKES Frameworks for 'Breaking Bad News' ...
Back to Literature Review