124 Communication Addendum (SDM Model)

5 Key Elements of Patient-Centered Communication (Gustin)

Assess patient perspective, manage uncertainty, exchange information, and attend to emotion all involved in shared decision-making — Patient-Centered Communication

Mnemonics

SPIKES

S: Setting up interview
P: assessing patient Perception/Perspective
I: obtaining patient Invitation
K: giving Knowledge and information
E: addressing patient Emotions
S: Strategies and Summary

VALUE

V: Value patient/family input
A: Acknowledge emotion
L: Listen
U: Understand patient as a person
E: Elicit concerns

NURSE

N: Name
U: Understand
R: Respect
S: Support
E: Explore

ASCEND

A: Anticipate – preplanning
S: Summarize patient/family understanding
C: Acknowledge Concerns
E: Explore and Explain
N: Next steps
D: Document

License

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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