Breaking bad news

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Information about Breaking bad news

Published on September 29, 2015

Author: Nisha88M


1. Ms Nisha Mathew

2. It is AS difficult for a person to convey the bad news, as a person who listens it

3. What is Bad News?...... Any information which adversely and seriously affects an individual's view of his or her future; whether news is bad or not can only be in the eye of the beholder.

4. Like?..... A Health condition that can be physical as well as mental disorder. o Diagnosis of a terminal illness like Cancer, AIDS. o Mental disorder : Downs syndrome o Degenerative disorder: Alzheimer's disease

5. How to break the Bad News!!! S-P-I-K-E-S

6. Not that one But SPIKES means  S- Setting Up  P- Perception  I- Invitation  K- Knowledge  E- Empathy  S- Strategize & summarize

7. Setting  Arrange for a private setting  Involve Significant others  Sit down  Communicate that you are listening, using silence and repetition  Remain available for the duration of the meeting

8. Perception  Identify what the patient & family understand  Use the same vocabulary that they do

9. Invitation  Obtain permission for the depth & breadth of information

10. Knowledge  Provide warning that Bad News is going to be shared  Avoid technical language  Give the information in small chunks  Tailor the rate at which information is shared

11. Empathy  Listen for and identify the emotion (or mix of emotions)  Identify the source or cause of the emotion.

12. Strategy & Summary  Check for Understanding  Summarize the discussion  Reiterate the pain

13. Bibliography Textbook of Medical-Surgical Nursing, Brunner & Suddarth, Twelfth edition , Volume-1 , page No- 405

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