Breaking Bad News

Question 1

Breaking bad news steps

Answer 1

• SPIKES
  
  • Setting the scene
  • Patients perception
  • Invitation to give news
  • Knowledge
  • Explore emotionsa and emphasis
  • Strategy and summer

Question 2

Setting

Answer 2

• Take to quiet room

Question 3

Patient perception

Answer 3

• Ask what they know

Question 4

Invitation

Answer 4

• Warn bad news coming
• Ask if they want someone here

Question 5

Knowledge

Answer 5

• Explain what has happened
  
  • Small chunks
  • No jargon
  • Check understanding

Question 6

Emotions and emphasis

Answer 6

• Acknowledge emotions
• Explore and emphasise

Question 7

Strategy and summary

Answer 7

• Make a plan via explanation and collaboration
• Summarise main areas
• Any questions?
• Next patient contact