Serious News
Serious News: Breaking bad news using the GUIDE tool
Step | What you say or do |
Get Ready – Info, People, Place |
“Let me take a minute to make sure I’ve got what I need.” Make sure you have all the information you need at hand. Make sure you have all the right people in the room. Find a place with some privacy. |
Understand what the patient knows |
“What thoughts have you had since the biopsy?” “What have you taken away from other doctors so far?” |
Inform starting with a headline |
“The CT scan shows that the cancer has gotten worse” Give the information clearly and to the point with a one-sentence Avoid jargon After the headline you will need to give more information, but after
|
Demonstrate empathy |
“I can see this news is not what you were hoping for.” Expect the patient’s first response to be emotion. Acknowledge the emotion explicitly. |
Equip the patient for the next step |
“Is there anything I could do to make this a little easier?” “I want you to be prepared for the next step. Can I explain…” Don’t dismiss concerns or say that everything will be fine. |
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