Chapter 8 Coordination: Communication and Documentation
To communicate means to inform or make known.1 This section will address issues regarding (1) general communication principles, (2) communicating bad news, (3) humor and communication, (4) select patient population interactions, (5) physician telephone calls, and (6) interpreters.
DELIVERING BAD NEWS
Delivering bad news may be broken down into six steps. Baile,3 who wrote to an oncology audience, describes a SPIKEs approach (Setting up, Patient Perceptions, Invitation by the patient, providing Knowledge, Empathizing, Summary and Strategy).