Histories, A-E and frameworks Flashcards
what frame work can be used for taking a quick history in an emergency situation?
AMPLE
Allergies
Medications
PMHx
Last meal
Events - HxPC
what framework can be used for breaking bad news and consenting for procedures?
SPIKES
what does SPIKES stand for?
Setting
Perceptions
Invitation
Knowledge
Emotion + Empathy
Strategy and Summary
what phrases can be used when breaking bad news to encompass SPIKES?
Hello my name is Grace and I am ROLE
I think you’re here to talk about X is that correct?
Are you happy to have a chat about this now? Should we move somewhere quieter? Do you want to have anyone else with you? Is there anything that you feel comfortable hearing about now? Feel free to ask any questions
Brief History
Do you have any ideas about what was happening?
Is there anything you’re particularly worried about?
I’m sorry but I don’t think this is the news you’re wanting to hear
EXPLAIN (knowledge) + LEAFLETS
I can see that is a bit of a shock for you - how are you feeling?
Just to check you’ve understood would you mind repeating back what I’ve said
what phrases can be used when counselling for a procedure to encompass SPIKES?
Hello my name is Grace and I am ROLE
I think you’re here to talk about X is that correct?
Are you happy to have a chat about this now? Should we move somewhere quieter? Do you want to have anyone else with you? Is there anything you don’t feel comfortable hearing about I know some people don’t always want all the details? Feel free to interrupt me to ask any questions
what do you know about [procedure]?
Is there anything in particular you’re worried about with [procedure] or anything you particularly want to know from me?
EXPLAIN AND LEAFLET
- side effects, complications, safety netting
It’s quite a lot of information would you mind summarising it back to me just so I know you’ve understood what is going to happen
How do you feel about procedure?
CAPACITY
QUESTIONS
