"This is one of the hardest duties of being an Optometrist. When I have to deliver bad news to a patient, being honest, empathetic, and direct is the best way to approach this. I arrange for the patient and their family to meet with me in my office if they wish. I schedule sufficient time to deliver the news and answer any questions they might have. After we meet, I tell them that I am sorry, but I have some bad news. I then deliver the news in a way they will understand and wait for them to react. I always proceed at the patient's pace, and when it is the appropriate time, I ask them to tell me their understanding of what I have said. I ask them if they or their family have any questions and answer those questions honestly. At the end of the conversation, I will provide referrals if needed and schedule a follow-up visit. I make sure they know they can call or email me at any time if they have questions or concerns."