Breaking Bad news Ms Nisha Mathew
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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
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