October 18, 2010 
I came across this framework that I like. It seems to take into account the health literacy and emotional challenges of a patient when receiving and assimilating bad news.
COMFORT stands for:
- Communication
- Orientation
- Mindfulness
- Family
- Ongoing
- Reiterative
- Team
Communications – use clear and familiar language.
Orientation – set reasonable expectations.
Mindfulness – focus on the patient without being distracted.
Family – include the family in the information and the ongoing support.
Ongoing – stress the ongoing activities so there is no sense of abandonment.
Reiterative – continue to reinforce the message to help them come to terms.
Team – coordinate care so that there is not conflicting or confusing information.
Enabling Healthy Decisions 
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