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    Spikes - : A Protocol For Breaking Bad News

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    Face
    The document outlines the SPIKES protocol for breaking bad news to patients. It involves 6 steps: 1) setting and listening skills to create a comfortable environment, 2) understanding the patient's perspective and concerns, 3) inviting the patient to learn details based on their preferences, 4) providing medical facts in small portions and checking for understanding, 5) exploring the patient's emotions and empathizing with their reaction, and 6) developing a treatment strategy and plan by summarizing key points and ensuring agreement. Recommended reading materials on breaking bad news and communicating with dying patients are also listed.

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    Spikes - : A Protocol For Breaking Bad News

    Uploaded by

    Face
    123 views2 pages
    The document outlines the SPIKES protocol for breaking bad news to patients. It involves 6 steps: 1) setting and listening skills to create a comfortable environment, 2) understanding the patient's perspective and concerns, 3) inviting the patient to learn details based on their preferences, 4) providing medical facts in small portions and checking for understanding, 5) exploring the patient's emotions and empathizing with their reaction, and 6) developing a treatment strategy and plan by summarizing key points and ensuring agreement. Recommended reading materials on breaking bad news and communicating with dying patients are also listed.

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    for grief

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    Spikes

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    The document outlines the SPIKES protocol for breaking bad news to patients. It involves 6 steps: 1) setting and listening skills to create a comfortable environment, 2) understanding the patient's perspective and concerns, 3) inviting the patient to learn details based on their preferences, 4) providing medical facts in small portions and checking for understanding, 5) exploring the patient's emotions and empathizing with their reaction, and 6) developing a treatment strategy and plan by summarizing key points and ensuring agreement. Recommended reading materials on breaking bad news and communicating with dying patients are also listed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    123 views2 pages

    Spikes - : A Protocol For Breaking Bad News

    Uploaded by

    Face
    The document outlines the SPIKES protocol for breaking bad news to patients. It involves 6 steps: 1) setting and listening skills to create a comfortable environment, 2) understanding the patient's perspective and concerns, 3) inviting the patient to learn details based on their preferences, 4) providing medical facts in small portions and checking for understanding, 5) exploring the patient's emotions and empathizing with their reaction, and 6) developing a treatment strategy and plan by summarizing key points and ensuring agreement. Recommended reading materials on breaking bad news and communicating with dying patients are also listed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    SPIKES - a protocol for breaking bad news

    Breaking Bad News - handout week 1

    Setting and listening skills setting: physical space; privacy;


    same level, no physical barriers, bleep off, avoid interruptions,
    clarity on time available, listening: body language; eye contact;
    open questions; pauses; silences; nods; smiles, reflecting, clarifying,
    use of touch may help if touch a non-threatening area ( arm,
    forearm) and you and the patient feel comfortable

    Patients perception of the condition and its seriousness: -


    ask patient what he/she knows/suspects already, listen to their
    response to gauge comprehension, is there a mismatch between
    medical information and their perception?

    Invitation check if the patient wants to know details of diagnosis


    and/or treatment. Are you the sort of person who..?

    Knowledge give the facts in small chunks using suitable


    language i.e. the step approach, start at the point the patient is up
    to, check understanding at each chunk, respond to the patients
    reactions

    Explore emotions & empathise give an empathic response


    by identifying the emotion, identify the cause and respond in a way
    that shows you have made a connection between the two e.g. I
    can see this is unexpected news that has shocked you. This skill
    helps the patient to begin to come to terms with the news.

    Strategy and summary suggest a strategy based on the


    medical facts and the patients expectations; assess the patients
    response; agree a plan
    summarise the main points; check if this agreed and if there are
    any omissions; agree a clear contract for the next contact

    RECOMMENDED READING
    Baile W, Buckman R et al. SPIKES - a six step protocol for delivering bad news.
    Oncologist 2000; 5[4]: 302-311. Available online via
    theoncologist.alphamedpress.org
    Buckman R. Breaking bad news: why is it so difficult? BMJ 1984; 288: 1597-1599.
    Buckman R. How to Break Bad News. Papermac, Basingstoke, 1992.
    Buckman R. I dont know what to say - how to help and support someone who is
    dying.
    London, Pan Books, 1996.
    Lugton J. Communicating with dying people and their relatives. Radcliffe Medical
    Press , Oxford, 2002.
    Maguire P, Faulkner A. Handling bad news & difficult questions. BMJ 1988; 297: 907-
    909.

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