Cervical Screening Programme
Department of Health
The Government of the Hong Kong Special Administrative Region

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i. Ensure privacy, interruption-free environment.
   
ii. Develop rapport: greet, handshake, offer seat.
   
iii. Check awareness: check background knowledge and how much information needed.
   
iv. Warning shot: to prime the client of a bad news, e.g. "I'm afraid that the result is more serious than expected".
   
v. Give information: avoid jargon, tailored amount and pace. Correct misconception according to awareness. Break down information into categories to facilitate recall. Be sensitive to nonverbal cues of doubt. Repeat or emphasize on important information.
   
vi. Check understanding: ensure the client understands the meaning of the result and answer any questions raised.
   
vii. Acknowledge feeling and emotion: initial responses to bad news include shock, disbelief, sadness and anger, etc. Acknowledge that her reaction is a normal response to bad news.
   
viii. Elicit all concerns: ask the client what does the result mean to her, in the light of her knowledge, family, occupational and social background. Try to address her concerns.
   
ix. Discuss management plan: explain the management /referral options and involve the client in decision making.
   
x. Arrange follow up: to provide shared care with specialist. Respond to on-going medical, psychological and social needs.
   
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