13) Breaking Bad News Flashcards Preview

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Flashcards in 13) Breaking Bad News Deck (15):
1

What are the 3 patterns of dying?

Gradual death
Catastrophic death
Premature death

2

What are some initial reactions to bad news?

Shock, numbness, disbelief, confusion

3

What are the 5 stages of the grief model?

Denial
Anger
Bargaining
Depression
Acceptance

4

What is denial?

Refusal to discuss illness/future

5

What are the positives of denial?

Coping mechanism

6

What are the negatives of denial?

Barrier for good care
Check and review over time

7

What is bad news?

Any information that dramatically alters a patient's view of the future for the worse

8

What are the good things about telling someone big news?

May be a relief
Able to treat
Burden lifted from carer

9

List SPIKES:

Setting
Patient's perception
Invitation
Knowledge
Empathy
Strategy/summary

10

Describe the setting for breaking bad news:

Face to face
Ensure privacy
Find out who patient wants present
Introduce yourself and not too many people in the room

11

Describe the patient's perception stage of breaking bad news:

What does patient know already?
'What have you been told so far?'

12

Describe the invitation stage for breaking bad news:

Invitation from patient to give information
May not want to know everything so respect this

13

Describe the way in which knowledge should be given when breaking bad news:

Give information in small chunks
Allow time for questions
Check understanding
Avoid jargon

14

Describe the empathetic response when breaking bad news:

Acknowledge connection between news and emotion
Listen to concerns
Validate that feeling sad/angry is normal

15

Describe the strategy and summary step of breaking bad news:

Summarise main topics and check understanding
Discuss next step
Opportunity to ask questions, offer further availability
Leave with other member of staff