Breaking Bad News Flashcards
1
Q
SPIKES acronym
A
Setting
Perception
Invitation
Knowledge
Empathy
Summary + strategy
2
Q
Setting
A
Chaperone
Sit down at same level
Water
3
Q
Perception
A
Have you any idea what might be wrong
Do you know what we are discussing today
4
Q
Invitation
A
I’ve got results, is it ok if we discuss them now?
5
Q
Knowledge
A
I wish I had better news/ I’m afraid the news is not good
Allow silence + pauses
6
Q
Empathy
A
This must be very hard for you
This must be a real shock
I can see you’re upset
7
Q
Summary
A
Summarise info + ask if any Q’s
Understand plan going forward
