Well, when somebody is in a dire situation, and you seriously don't think the outcome will be good, don't tell them only that. You can explain the situation, and that you will do everything to help. But, offer them hope. Say, that there is a chance, and that with your help, you'll get them on their feet again.
Alot of patients give up hope and stop fighting when they hear bad news. If you offer hope, the more often they will be reassured.
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