Breaking Bad News Flashcards
what is the acronym for breaking bad news
SPIKES
what does spikes stand for
setting up
assessing perception
obtaining invitation
giving knowledge and information
empathy
strategy and summary
how should you set up for delivering bad news
privacy
significant others
check information
introduction
what should you assess when assessing perception during delivering bad news
check how much is already known
gauge level of understanding
assess emotions, display or anxiety/ denial
what does obtaining invitation mean in delivering bad news
respect the relative or carer’s wishes
would you like me to tell you details of what happened
how should giving knowledge and information be dealt with when delivering bad news
warning shot
give info in small chunks
offer clarification
repeat important points
listen to concerns
what is part of the strategy and summary aspect of delivering bad news
demonstrate understanding of patients problem list
explain next steps in treatment plan
explain what is expected to happen
identify sources of support
invite questions
