Abstract
In the last century، more than 2. 6 billion people in the world have been affected by natural disasters، such as earthquakes، floods، storms، landslides، and climate changes. The delivery of bad news after natural disasters is one of the responsibilities of therapists. The bad news refers to any information that cause negative changes in a patient's view of the future. It is not possible to use the same protocol to deliver bad news for all situations. It is not possible to use the same protocol to deliver bad news for all situations. It is necessary to localize or develop the Persian version of the SPIKES protocol to break bad news during natural disasters in Iran، and it is recommended to be included in the emergency response plan. Such protocol can be used in line with the activity and evaluation of the validity criterion of "breaking bad news to the patient/legal guardian by the ethical principles and predetermined methods"، and also for the use of pre-hospital and hospital cares.
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