COMMUNICATION

In
SPECIAL SITUATIONS
 All Of Us
Will Fall Ill At Sometime !!
Suffering
&
Death
http://www.deathclock.com/
CANCER
Inherently Difficult Task
As
Most Doctors Will Feel:
 Awkward
 Uneasy
 Sad
 Afraid
 Helpless
 GOAL

BALANCE
Honesty With Sensitivity
How
To
Do It ??
SPIKES
S Setting Up: The Preparation: Time Place Doctor
P Patient Perception
I Invitation To Break News
“I would like to share with you some of the
findings of the tests…Is that OK with you? ”
K Knowledge: Patients Level Of Awareness
E Emotions: Explore Acknowledge Facilitate
S Strategy Ahead
What Does The Patient Already Know?
Does The Patient Want To Know?
Does He Need To Know?
 ABCDE

A Advance Preparation Of The Patient As Well The Doctor

B Build A Therapeutic Relationship
CCommunicate Well
D Deal With The Patient & Family’s Reactions
E Encourage Active Methods Of Coping
CHUNKING & CHECKING

Not Too Much Of Information

Avoid A Single Bolus!
Provide Little Chunks
Check The Response
And Give The Next Bit
Look For Non Verbal Cues
NOT
ALONE