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Pearl · 04 of 05

After a normal result, say what it rules out and what you will do next

Explain what a normal result rules out, and agree the next step and review date before the patient leaves.

Reassurance fails when a patient hears only that the result is normal. Say what the test looked for and what the normal result makes unlikely. Then say what you will do if the symptom persists, and when you will review.

A specific plan carries more weight than a general assurance: it shows you took the symptom seriously and it gives the patient something to do with their worry. Write the safety-net advice in the notes and tell the patient which new symptoms would change the plan.

  • State which serious conditions the normal test makes less likely.
  • Name what you will do next if the symptom continues.
  • Offer a specific review date rather than 'come back if worried'.
  • Give clear red-flag symptoms and document that you did.

Why it matters

Reassurance works better as a plan than as a verdict.

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