Spikes protocol for delivering serious news HY
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The SPIKES protocol outlines six steps for delivering serious medical news to patients and their families: set the stage by arranging a private setting and introducing everyone; assess their perception of the situation; invite them to share how much information they want; provide knowledge of the situation in a clear and empathetic manner while checking for understanding; express empathy in response to emotions; and summarize by creating a follow-up plan.
Spikes protocol for delivering serious news HY
- 1. SPIKES protocol for delivering serious news Set the stage Arrange for a private, comfortable setting Introduce patient/family & team members Maintain eye contact & sit at the same level Schedule appropriate time interval & minimize interruptions Perception Use open-ended questions to assess the patient's/family's perception of the medical situation Invitation Ask patient/family how much information they would like to know Remain cognizant of cultural, educational & religious issues Knowledge Warn the patient/family that serious news is coming Speak in simple & straightforward terms Stop & check for understanding Empathy Express understanding & give support when responding to emotions Summary & strategy Summarize & create follow-through plan, including end-of- life discussions if applicable