Table 73.2Guide to Communication Skills

C L A S S protocol for clinician-patient interviews
C Physical CONTEXT or setting
L LISTENING skills
A ACKNOWLEDGE emotions and explore them
S Management STRATEGY
S SUMMARY and closure
S P I K E S protocol for breaking bad news and giving important medical information
S SETTING and listening skills
P Patient’s PERCEPTION of condition and seriousness
I INVITATION from patient to give information
K KNOWLEDGE — giving medical facts
E EXPLORE EMOTIONS and EMPATHIZE as patient responds
S STRATEGY and SUMMARY

Adapted from Buckman R. Communication in palliative care: a practical guide. In: Doyle D, Hanks GWC, MacDonald N, editors. Oxford textbook of palliative medicine. 2nd ed. New York: Oxford University Press; 1998.

From: Chapter 73, Palliative Care

Cover of Holland-Frei Cancer Medicine
Holland-Frei Cancer Medicine. 5th edition.
Bast RC Jr, Kufe DW, Pollock RE, et al., editors.
Hamilton (ON): BC Decker; 2000.
© 2000, BC Decker Inc.

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