Breaking bad news Flashcards
1
Q
Setting
A
Comfortable, confidential space
2
Q
Perception
A
Outline preceding events
Ask them what they already know/expect/ what they are worried about
2
Q
Invitation
A
Check if they want to know, would they like someone else present
3
Q
Knowledge
A
Give warning shot- results are not what we wanted
Chunk diagnosis
After every statement, pause and wait
If silence is prolonged, ask “may I ask what are you feeling”
Don’t launch into an explanation- talk slowly bit by bit, and offer to write all the information down
4
Q
Emotions and empathy
A
Acknowledge and reflect back emotions
Summarise and bounce back concerns, show you are listening
Would it help if we talked about the results?
5
Q
Strategy and summary
A
Agree on a plan
Summarise concerns
