Sanalejo

Malas noticias, cómo transmitirlas con eficacia y sensibilidad

SPIKES

Setting up the interview (Privacy, please!)
Perception (Before talking, get an idea of what the patient knows)
Invitation (Get an idea of how much information does he or she wants to know)
Knowledge (Give the information, starting with "I have some bad news..." or "I am sorry to inform you that...")
Emotions (Address the emotion elicited with empathy)
Strategy and Summary (What is the plan. There should always be a plan, even a funeral one will do - just make it explicit!)

- Baile WF, Buckman R, Lenzi R, et al. SPIKES--A Six-Step Protocol for Delivering Bad News: Application to the Patient with Cancer. Oncologist 2000 5: 302-311