Conversation 1: Good example

Location, Hospital Clinic. In the room is Tim, the patient and the Consultant.

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SPIKES
Setting the scene The consultant might be anxious about conveying bad news without anyone there to support
Hello my name is campaign

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Showing respect for own decision making
Perception - checking out current understanding before proceeding
Preparing for shared decision making process

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Empathy
Assessing how he has coped with the knowledge received last week and his understanding

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Knowledge
Warning shot before sharing the news
Tim shocked- not quite understanding initially
Gentle honesty about what to expect in the decline

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Use of language that is "non jargonistic"
Give the person time to reflect and think -

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Probably less than 50% of what is said will be retained
Summary and plan from SPIKES

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