ADMIN/NON MEDICINE
BREAKING BAD NEWS
PromptBreaking bad news
ResponseAppropriate setting (Quiet, preferable)
Ask if wanting family/NOK/support present
RN/social worker for support
Warning shot
Explain diagnosis in laymans terms, avoid jargon
Explain next steps in treatment
Allow silence
Offer tissues, water etc.
SW review for social issues
Address any questions raised by pt/family
Ask if wanting family/NOK/support present
RN/social worker for support
Warning shot
Explain diagnosis in laymans terms, avoid jargon
Explain next steps in treatment
Allow silence
Offer tissues, water etc.
SW review for social issues
Address any questions raised by pt/family
SPIKES
Setting, Perception, Invitation (pt invites bad news), Knowledge (break news), Emotion (allow response), Summarise