Pepelen
← How to Break Bad News: The SPIKES Protocol

Lesson

I — Invitation: how much the person wants to know

Respect the person's right to choose how much detail they want to know.

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Invitation: ask permission

I — Invitation

People differ in how they want to receive hard information. Some want to know everything in detail, including numbers and the prognosis; for others the gist is enough, and the details frighten them. Both are normal, and both can change over time. Step I is a direct, respectful question: “Which would you prefer: should I go through everything in detail, or just the main points first, and we'll come back to the details when you're ready?” A question like this gives the person back control in a situation where they've almost lost it — and that in itself is support. If the person says “I don't want the details,” it isn't a refusal to talk; it's important information about how to lead the conversation.
Lesson notes
I — Invitation
People differ in how they want to receive hard information. Some want to know everything in detail, including numbers and the prognosis; for others the gist is enough, and the details frighten them. Both are normal, and both can change over time. Step I is a direct, respectful question: “Which would you prefer: should I go through everything in detail, or just the main points first, and we'll come back to the details when you're ready?” A question like this gives the person back control in a situation where they've almost lost it — and that in itself is support. If the person says “I don't want the details,” it isn't a refusal to talk; it's important information about how to lead the conversation.
I — Invitation: how much the person wants to know — How to Break Bad News: The SPIKES Protocol