Promoting Excellence : SPIKES: Breaking Bad News

Name:
SPIKES: Breaking Bad News

Description:
A handout that presents a six step model for communicating serious information to patients using SPIKES, an acronym for setting, perception, invitation, knowledge, empathy, and summary.

Category:
Educational Tools - Clinician Education

Source:
The Amyotrophic Lateral Sclerosis Workgroup of
Promoting Excellence in End-of-Life Care
Hiroshi Mitsumoto, MD, Chair

Contact:
Hiroshi Mitsumoto, MD
Chair, ALS Workgroup
Eleanor & Lou Gehrig MDA/ALS Center
College of Physicians & Surgeons
Columbia University Neurologic Institute
New York, NY
[email protected]

Recommendation of the workgroup for use of this instrument:
Used by the clinician as a guide for communicating serious information to the ALS patient.

Keywords:
breaking bad news, communication, SPIKES, ALS

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

References:
Developed by Robert Buckman, MD, Associate Professor of Medical Oncology, University of Toronto. Modified from version: Sandrick, K. "Codified principles enhance physician/patient communication." Bulletin of the American College of Surgeons, 83(11):13-17, 1998

To view this tool:
ALS Appendix C, p 18 (pdf PDF 1.3 MB / 87 pages)

Posted March 10, 2005

Completing the Continuum of ALS Care: A Consensus Document


# ALS10, type:clinician_education


Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.

Promoting Excellence logo and link to home page