HERE we are trying to find a way for better communication between physician at a side and patient and his/her family in anther side remember that if doctor do badly, patient will never forgive him but if done good, patient will never forget him and always appreciating the special nature of egyptian patient necessitate special type of communication skills

1. by
Salwa M. Elwasif, MD.
Communication Skills:
Breaking Bad News

2. YOU ARE US

5. “If we do it badly, the patients or family
members may never forgive us; if we do it well,
they may never forget us.”
(Buckman, 1992)
The task of breaking bad news

6. satisfaction
Doctor
satisfaction
Patient
satisfaction

7. Information that negatively alters the
patient’s view of the future
(Buckman, 1992)
What is bad news?

8. • Situations where there is a feeling either no
hope or the choices convey patient life
• Not welcomed
• Not comfortable
BAD NEWS

10. “Nothing travels faster than the speed of light
with the possible exception of bad news, which
obeys its own special laws.”
Douglas Adams
Quote

11. Quote
The bad news is that only the bad people reach
the news because they are noisier.
Javier Bardem
https://www.brainyquote.com/quotes/quotes/j/javierbard458964.html

12. METHODSOF CONDUCTINGBAD
NEWS

18. • Setting
• Perception
• Invitation
• Knowledge
• Emotions
• Strategy & Summary
SPIKES MODEL: THE SIX STEPS

19. • Provide privacy
• Introduce self
• Determine who else should be present
• Ensure no interruptions
• Provide comfortable space
• Create welcoming environment
Setting the environment

20. • Prepare before speaking
• Ask about patient’s perception of what is
going on
Perception

21. Ask questions to invite the patient into conversation
Ask how much information the patient wants to
hear
Invitation

22. Deliver the message
Use plain language
Be mindful of body language
Get to the point
Give information in small chunks
Pause
Wait for reaction, Use “teach back”
Knowledge

23. Be prepared for patient’s and family’s
emotional response
Anticipate fear, anger, sadness, denial, guilt
Be mindful of your own response
Comfort the patient
Emotions

26. • Assess patients readiness for planning
• Negotiate next steps
• Acknowledge and answer questions
Summarize plan
• Use “teach back” technique
• Follow up.
Strategy and summery

31. • Medical term
• Probably
• May be
• Language barrier
• Mask face
• Patient own
language
• Clear words
• Body language
Not clear Clear
ENSURE THAT

32. Good news Bad news
IF YOU HAVE 2

33. USE SANDWICH TECHNIQUE IF
AVAILABLE

36. Thank you

37. HTTPS://LIFEINTHEFASTLANE.COM/
EXAMS/ACEM-FELLOWSHIP/OSCE-
VIDEOS/BREAKING-BAD-NEWS-ICH/
Thank
you