Empathy in Medicine Flashcards
What is the acronym for delivering bad news?
SPIKES
What is the first S in Spikes?
Setting up the interview
What is important about setting up the interview?
Arrange it in privacy, Involve significant others, sit down with patient, make connection with patient, and manage time constraints
What is the P in sPikes?
Asking the Perception of the patient
What are important about getting the perception of the patient?
Ask to know what the patient already knows about the disease or the reason they may have gotten a specific test.
What puts the I in spIkes?
Invitation from the patient
What is invitation from the patient?
Ask how much the patient might want, or how to deliver the information
What puts the K in spiKes?
Giving Knowledge to the patient
What is important about giving knowledge to the patient?
It may be helpful to warn them before actually giving them the news. Give them facts and try to use lay language
What is the E in spikEs?
Addressing the patients Emotions
What is important to do with the patients emotions?
Wait and observe the patient for a little to see how they respond. Respect the patients emotions.
What is the final S in spikeS?
Summary and strategy
What is important about the summary and strategy?
It is important that the patient understands all the important details of the news you gave them. It is also important to have a next step in mind in order for a patient to feel more comfortable.
What are we going to do to this test?
Destroy IT!!!!!
