Onkologie. 2022:16(1):50-52 | DOI: 10.36290/xon.2022.009

Practical strategies for breaking bad news in oncology

Zdeňka Pechačová1, Tereza Drbohlavová1, Radka Lohynská1, 2
1 Ústav radiační onkologie 1. LF UK a Fakultní nemocnice Bulovka, Praha
2 Onkologická klinika 1. LF UK a Fakultní Thomayerovy nemocnice, Praha

Background: Breaking bad news is a common situation in the care of cancer patients and is challenging for both patients and healthcare professionals. Despite the fact that every patient or situation is unique there are generally valid rules of communication which can be considered as skills and it is possible to learn them. Purpose: The aim of this contribution is a brief description of tools for more confident communication - the protocol for breaking bad news SPIKES and the strategy for responding to emotions NURSE. Good management of specific communication situations in oncology significantly contributes to better patient compliance, prevents conflicts and reduces frustration and exhaustion of healthcare professionals.

Keywords: communication, emotions, palliative care, malignant neoplasms.

Published: February 22, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pechačová Z, Drbohlavová T, Lohynská R. Practical strategies for breaking bad news in oncology. Onkologie. 2022;16(1):50-52. doi: 10.36290/xon.2022.009.
Download citation

References

  1. Kübler-Ross E. On death and dying. New York: Simon & Schuster/Touchstone 1969.
  2. Sláma O, Kabelka L, Vorlíček J, et al. Paliativní medicína pro praxi. Praha: Galén; 2011.
  3. Sláma O, Špinková M, Kabelka L. Standardy paliativní péče 2013. Česká společnost paliativní medicíny ČLS JEP, Brno 2013.
  4. Back A, Arnold RM, Tulsky JA. Mastering Communication with with Seriously Ill Patients: balancing honesty with empathy and hope. Cambridge University Press 2010. Go to original source...
  5. Kabelka L. Geriatrická paliativní péče a komunikace o nemoci. Praha: Mladá fronta; 2018.
  6. Kabelka L. Nemocné rozhovory. Praha: Grada, 2020:240 s.
  7. Nipp RD, El-Jawahri A, Fishbein JN, et al. The relationship between coping strategies, quality of life, and mood in patients with incurable cancer. Cancer. 2016;122(13):2110-2116. Go to original source... Go to PubMed...
  8. Kopecky O, Rusinova K, Waldauf P, et al. Oddicus - how much care is at odds with patient's values and preferences at the end of life? Abstract 528. ESICM LIVES 2016: part two: Milan, Italy. 1-5 October 2016. Intensive Care Med Exp. 2016;4(Suppl 1):30. Published 2016 Sep 29.
  9. Vorlíček J, Sláma O, Kalvodová L. Sdělování onkologické diagnózy. Vanýskův den, Brno 2001. Dostupné online na https://is.muni.cz
  10. Sochor M, Závadová I, Sláma O. Paliativní péče v onkologii. Praha: Mladá fronta, 2019:446 s.
  11. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302-311. doi: 10.1634/theoncologist.5-4-302. Go to original source... Go to PubMed...




Oncology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.