What’s the hardest conversation of all? For many of us, it’s breaking bad news. Having to tell someone they have a serious disease, or informing someone that their loved one has died... These are some of the toughest things to do. And the stakes are high. The person receiving the news will likely remember this moment for the rest of their life. That’s why knowing how to do this well is so important. In this video, I run through the SPIKES framework for breaking bad news, take a look at the evidence that supports it, and provide examples of the kinds of words and phrases you might use.

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0:00 - Breaking Bad News
1:05 - Why is it important?
2:21 - Sequencing Really Matters
3:02 - Setting
4:34 - Perception
5:31 - Invitation
7:12 - Knowledge
9:10 - Emotion
11:22 - Strategy
13:21 - One Last Important Tip...


References from the video:

FALLOWFIELD, L. & JENKINS, V. 2004. Communicating sad, bad, and difficult news in medicine. Lancet, 363 312-9.
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RABOW, M. W. & MCPHEE, S. J. 1999. Beyond breaking bad news: how to help patients who suffer. West J Med, 171, 260-3.
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SEIFART, C., HOFMANN, M., BÄR, T., RIERA KNORRENSCHILD, J., SEIFART, U. & RIEF, W. 2014. Breaking bad news-what patients want and what they get: evaluating the SPIKES protocol in Germany. Ann Oncol, 25 707-711.
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VELEZ, D., GEBERDING, A. & AHMETI, M. 2022. SUNBURN: a protocol for delivering bad news in trauma and acute care surgery. Trauma Surgery & Acute Care Open, 7, e000851.
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99% Invisible Podcast: Breaking Bad News (on Dr Rob Buckman)
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Video Suggestions for Responding to Emotion:

5 Skills for Validating Other's Emotions
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Communication Skills for Difficult Conversations: A Toolbox
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Respond to Emotion by Naming It
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Respond to Emotion by Understanding the Driver
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Respond to Emotion with Respect, Praise and Appreciation
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Respond to Emotion with a Supportive Statement
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Respond to Emotion by Exploring the Story
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Time to turn theory into practice?
Contact me at:
www.criticalconversations.com.au
We'll equip you to deal with any difficult conversation.

Personal Website:
www.nonlinearzero.com

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