Breaking bad news

1. Breaking
Bad News
Dr. Shazia Iqbal
Assistant Professor
Director of Medical Education Unit
Vision College of Medicine,
Riyadh

2. Objectives
What is a Bad News? Why is it Important to
Learn to Break Bad News?
01
5 Stages of Grief and Loss.
03
How to break Bad News.
04
Discuss examples and Patrice 5
stages in different scenarios .
05
02

3. What is a Bad
News?
Any information that adversely
and seriously affects an
individual’s view of her/his
future life.

4. Some Examples of Bad News
Disclosing:
diagnosis of cancer
cancer recurrence
Positive genetic test results
Presence of an irreversible disease
01
02
03
04

5. Why is it Important to Learn
to Break Bad News?
- patient want the truth
- a frequent but painful task
- clinical outcomes
- ethical and legal imperatives

7. Many NPs view breaking bad news as a
communication skill that is important for
clinicians working in end-of-life care,
where the news can be that treatment has
been unsuccessful leaving few options for
disease control, or that death is imminent.

8. As Physician . . .
You are Expected to Break
Bad News to the Patient or
his/her family.

9. 5 Stages of
Grief and Loss:

10. How to break Bad
News?
Six Steps of Spikes
04

11. S SETTING UP the interview
P Assessing the patient’s PERCEPTIONS
I Obtaining patient’s INVITATION
K Giving KNOWLEDGE to the patient
E Addressing patient’s EMOTIONS with empathy
S STRATEGY and SUMMARY
Six Steps of Spikes

13. Discuss examples and
Patrice 5 stages in
different scenarios:

14. Breaking bad news video

15. References
● 1- https://www.google.com/search?q=+important+breaking+bad+news&tbm=isch&ved=2ahUKEwjT-fuiqo7wAhVMrhoKHRtfC68Q2-
cCegQIABAA&oq=+important+breaking+bad+news&gs_lcp=CgNpbWcQAzoECAAQQzoCCAA6CAgAEAcQBRAeOggIABAIEAcQHlD7mSJY8dIiYM3ZImgAcAB4AIABggKIAbYTkgEGMC4xLjEwmAEAoAEBqgELZ
3dzLXdpei1pbWfAAQE&sclient=img&ei=PJN_YNPrAszcapu-rfgK&bih=640&biw=1200&safe=strict#imgrc=CXb8MiYdtl9kBM
● 2- https://www.google.com/search?q=why+is+it+imprtant+to+learn+to+break+bad+news&oq=why+is+it++imprtant+to+learn+to+break+bad+news&aqs=chrome..69i57j33.80592j0j15&sourceid=chrome&ie=UTF-8
● 3-
https://www.google.com/search?q=how+to+break+bad+news&safe=strict&sxsrf=ALeKk02ZXL_UFyhm9VOsAQHkzCYj7cAw1A%3A1618972380212&ei=3I5_YLCwDNyIjLsPl5aikAE&oq=how+to+break+bad+new
s&gs_lcp=Cgdnd3Mtd2l6EAEYADICCAAyAggAMgIIADICCAAyAggAMgIIADICCAAyAggAMgIIADICCAA6BggAEAcQHlCOqQNY_NIDYMroA2gAcAF4AIABmgOIAd8MkgEHMi0yLjIuMZgBAKABAaoBB2d3cy13aXr
AAQE&sclient=gws-wi
● 4-
https://www.google.com/search?q=how+to+break+bad+news&safe=strict&sxsrf=ALeKk02ZXL_UFyhm9VOsAQHkzCYj7cAw1A%3A1618972380212&ei=3I5_YLCwDNyIjLsPl5aikAE&oq=how+to+break+bad+new
s&gs_lcp=Cgdnd3Mtd2l6EAEYADICCAAyAggAMgIIADICCAAyAggAMgIIADICCAAyAggAMgIIADICCAA6BggAEAcQHlCOqQNY_NIDYMroA2gAcAF4AIABmgOIAd8MkgEHMi0yLjIuMZgBAKABAaoBB2d3cy13aXr
AAQE&sclient=gws-wiz

16. Thanks