Delivering Breaking Bad News

Phase 3, information sharing, entails reevaluating the agenda, and teaching. Phase 4

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Ethics - Hussain Ali Hamdan

SPIKES : S, s

Phase 3, information sharing, entails reevaluating the agenda, and teaching.

Phase 4, information reception, allows for assessing the information reception, clarifying any miscommunication, and handling disagreements courteously.

Phase 5, response, includes identifying and acknowledging the patient's response to the information and closing the interview.

Baile et al proposed a protocol called SPIKES:

S, setting up the interview
P, assessing the patient's perception
I, obtaining the patient's invitation
K, giving knowledge and information to the patient
E, addressing the patient's emotions with empathic responses
S, strategy, and summary.

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