Delivering bad news, stages of grief

Question 1

What are the components of the SPIKES protocol?

Answer 1

Setting up
assessing the patient’s perception
obtaining the patient’s Invitation
Giving knowledge
Addressing the patient’s emotions
Strategy and summary
Make a plan for follow up

Question 2

What are the four components of “setting up” , in the context of the SPIKES protocol?

Answer 2

Arrange for privacy
Involve sig others
sit down
manage time constraints

Question 3

What does “assessing the patient’s perception” mean, in the context of the SPIKES protocol?

Answer 3

Assessing the patient’s knowledge and understanding of the situation to date

Question 4

What is the one key component of “obtaining the patient’s invitation” in the context of the SPIKES protocol?

Answer 4

Assertaining how much information the patient wants to know

Question 5

What are the two components of “giving knowledge” in the context of the SPIKES protocol?

Answer 5

• Disclosing the news
• Discussing implications

Question 6

What are the fourcomponents of addressing the patient’s emotions, in the context of the SPIKES protocol?

Answer 6

• Observe for an emotion
• Identify the emotion
  -Identify reasons behind it
• let the pt know you’ve connected the emotion with the reasons behind it

Question 7

What are the three components of “strategy and summary” in the context of the SPIKES protocol?

Answer 7

• Make plans
• Discuss options
• Offer additional resources

Question 8

In the Elizabeth Kubler-Ross model, what are the five stages of grief?

Answer 8

Denial
Anger
Bargaining
Depression
Resigned acceptance