Breaking Bad News

SPIKES:

  • Setting:
    • Introduce yourself
    • Tissues, comfortable chairs, same level
    • Do you want to be alone or do you want someone else to be with you?
  • Perception:
    • What has been done before? Investigations?
    • What do you know so far about your child’s condition?
  • Invitation:
    • Do you want to discuss it today or other time?
    • Do you want someone to be around w\ you?
  • Knowledge:
    • Deliver the news
  • Empathy:
    • Give them a moment
    • Pull the chair towards them, put your hands on their shoulder, lower your voice
    • “I’m sorry for that, …..”
    • Ask if they want to know the details -> tell them disease details, treatment, prognosis
  • Summary:
    • Summarize
    • Ask if they understood
    • You’re welcome at any time if you have any questions

 


Download the PDF version: here

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