Bad News
Breaking bad news, SPIKES protocol.
Objectives
Section titled “Objectives”- When giving bad news, ensure that the setting is appropriate, and ensure patient’s confidentiality.
- Give bad news:
- in an empathic, compassionate manner
- allowing enough time.
- providing translation, as necessary
- Obtain patient consent before involving the family.
- After giving bad news, arrange definitive follow-up opportunities to assess impact and understanding.