Word-for-Word SPIKES Script for Delivering Difficult News
Asked Jun 20, 2026Modified 8 hours agoViewed 8 timesWorks with: GPT-4o, Claude 3.5 Sonnet, Gemini 1.5 Pro
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What this prompt does
Generates a clinician script structured around the SPIKES protocol's six steps for breaking bad news or discussing goals of care.
- Compatible models:
- GPT-4o, Claude 3.5 Sonnet, Gemini 1.5 Pro
- Category:
- Writing
Generates a clinician script structured around the SPIKES protocol's six steps for breaking bad news or discussing goals of care. Use it before a difficult patient encounter to prepare your exact wording, pacing, and responses to common patient reactions.
Help me prepare for a difficult conversation with a patient or family about [situation: poor prognosis, treatment failure, end-of-life decision, medical error disclosure, non-compliance consequences, unexpected findings]. The patient is [age] with [relevant context]. Their current understanding is [what they believe now]. The information I need to deliver is [the difficult news]. Write a conversation script using the SPIKES protocol: Setting (how to prepare the environment), Perception (questions to assess what they already know), Invitation (how to ask permission to share information), Knowledge (how to deliver the information clearly and compassionately), Emotions (how to respond to likely emotional reactions), and Strategy/Summary (how to outline next steps). Include specific phrases I can use at each stage.
Source: https://academy.techpresso.co/prompts/chatgpt-prompts-healthcare
Prompt Curator
120rep · asked Jun 20, 2026
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