<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032025000300180</article-id>
<article-id pub-id-type="doi">10.35366/120425</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Simulación y gestión de malas noticias en Cuidados Paliativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Simulation and management of bad news in palliative care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara-López]]></surname>
<given-names><![CDATA[Uría]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ascencio-Huertas]]></surname>
<given-names><![CDATA[Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Hernández]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza-Ortiz]]></surname>
<given-names><![CDATA[Óscar Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-García]]></surname>
<given-names><![CDATA[Genaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez-Mondragón]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma «Benito Juárez» de Oaxaca  ]]></institution>
<addr-line><![CDATA[Oaxaca ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de Zapopan  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,ISSSTE Hospital Regional Ignacio Zaragoza ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,IMSS Hospital General de Zona No. 36 ]]></institution>
<addr-line><![CDATA[Pachuca Hidalgo]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>180</fpage>
<lpage>183</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000300180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En el caso de enfermedades complejas, progresivas y no curables, el personal de salud debe explicar al paciente o a su familia que dada la naturaleza de la enfermedad que padece no va a mejorar, incluyendo la posibilidad del final de la vida. La experiencia, dada la naturaleza del tema, puede resultar desagradable o estresante para el clínico, el paciente, los familiares y cuidadores. Además, la poca habilidad para informar las malas noticias puede generar mayor sufrimiento y deteriorar la relación médico-paciente. Por el contrario, un buen desempeño en esta tarea puede disminuir el impacto emocional, permitiendo la asimilación paulatina de la nueva realidad fortaleciendo la relación sanitario-paciente. En este trabajo se describen algunos aspectos relacionados con la dificultad que implica esta actividad. Aunque la comunicación de malas noticias es un asunto complejo e incómodo para los participantes, la evidencia muestra que la utilización de un enfoque humanístico, pluricultural, protocolizado, basado en el aprendizaje de habilidades de comunicación empleando la simulación, puede facilitar significativamente esta tarea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: In the case of complex, progressive, and incurable diseases, healthcare personnel must explain to the patient or their family that, given the nature of the illness, the patient will not improve, including the possibility of reaching the end of life. The experience, given the nature of the subject, can be unpleasant or stressful for the clinician, the patient, family members, and caregivers. Furthermore, poor skill in communicating bad news can cause greater suffering and deteriorate the doctor-patient relationship. Conversely, good performance in this task can lessen the emotional impact, allowing for the gradual assimilation of the new reality and strengthening the doctor-patient relationship. This paper describes some aspects related to the difficulty involved in this activity. Although communicating bad news is a complex and uncomfortable matter for participants, evidence shows that the use of a humanistic, multicultural, protocol-based approach based on learning communication skills through simulation can significantly facilitate this task.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gestión de malas noticias]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[simulación]]></kwd>
<kwd lng="en"><![CDATA[bad news management]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[simulation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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