BREAKING BAD NEWS
SPIKES
Setting
Perception
Invitation
Knowledge
Empathy
Summary
ADDRESSING CONCERNS
ICE
Ideas
Concerns
Expectations
Issues wit professionalsm in a place!! NOT JUST A COLLEAGUE
SPIES
Seek information
Patient safety
Initiatuve
Escalate
Support
PAIN OR SYMPTOMS
SOCRATES
Site
Onset
Character
Radiation
Associated symptoms
Time
Exacerbating or relieving factors
Severity
THEN ASK ABOUT PAST MED HISTORY, DRUGS THEY TAKE, SPCIAL HISTORY[DO THEY SMOKE OR DRINK]