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Breaking bad news

Dr P Henn 31.01.2011. Breaking bad news. Your words remembered for years. The SPIKES model Developed by oncologists as a structure to break the news of life limiting disease The most widely used ‘ b reaking bad news’ model O n Black Board. Bad News. Does not have to be terminal illness

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Breaking bad news

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  1. Dr P Henn 31.01.2011 Breaking bad news

  2. Your words remembered for years • The SPIKES model • Developed by oncologists as a structure to break the news of life limiting disease • The most widely used ‘breaking bad news’ model • On Black Board

  3. Bad News • Does not have to be terminal illness • Can be life changing diagnosis • Chronic disease • Limb amputation • Loss of vision hearing • May have impact beyond the patient • Parents • Siblings

  4. Similar considerations for adults or children • Assess level of understanding • Child • Adult • Learning difficulties • Elderly • Head injury etc......... • Involve parents/ family members • A team approach • Prepare for the interview

  5. Breaking bad news (badly)

  6. Breaking Bad news (adults)

  7. Being informed of my child’s disability – Parental recollections

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