Breaking Bad newsMs Nisha Mathew

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

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.

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 syndromeo Degenerative disorder: Alzheimer's disease

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

Not that one But SPIKES meansS- Setting UpP- PerceptionI- InvitationK- KnowledgeE- EmpathyS- Strategize & summarize

SettingArrange for a private settingInvolve Significant othersSit downCommunicate that you are listening, using

silence and repetitionRemain available for the duration of the

meeting

PerceptionIdentify what the patient & family understandUse the same vocabulary that they do

Invitation Obtain permission for the depth & breadth of

information

KnowledgeProvide warning that Bad News is going to be

sharedAvoid technical languageGive the information in small chunksTailor the rate at which information is shared

EmpathyListen for and identify the emotion (or mix of

emotions)Identify the source or cause of the emotion.

Strategy & SummaryCheck for UnderstandingSummarize the discussion Reiterate the pain

Bibliography Textbook of Medical-Surgical Nursing,

Brunner & Suddarth, Twelfth edition , Volume-1 , page No- 405