What is the spikes framework?

SPIKES: a framework for breaking bad news to patients with cancer Clin J Oncol Nurs. 2010 Aug;14(4):514-6.doi: 10.1188/10.CJON.514-516. Author Marcelle Kaplan 1 Affiliation 1Weill Cornell Medical Center, New York Presbyterian Hospital, New York, New York, USA. marcellekaplan @gmail.com

What does spikes stand for?

SPIKES: a framework for breaking bad news to patients with cancer. SPIKES is an acronym for presenting distressing information in an organized manner to patients and families. The SPIKES protocol provides a step-wise framework for difficult discussions such as when cancer recurs or when palliative or hospice care is indicated.

What is the SPIKES protocol?

SPIKES is an acronym for presenting distressing information in an organized manner to patients and families. The SPIKES protocol provides a step-wise framework for difficult discussions such as when cancer recurs or when palliative or hospice care is indicated.

How do spikes work in Pokemon Generation 2?

Generation II. Spikes sets an entry hazard around the enemy team’s field. Pokémon who switch into the spike-ridden field take 12.5% of their maximum HP in damage. Flying-type Pokémon are immune to this damage. The move Rapid Spin removes Spikes around the user.

What is the difference between the 10/11-11/12 Obsethed and the previous versions?

The previous version had dimensions of 138/105/125, while the 10/11-11/12 Obsethed has jumped up to 146/117/134. The skis rocker/camber profile has also changed dramatically. Gone is the 10/20 (mm rise / cm run) “All-Terrain Rocker” in both the tip and tail.

What is the difference between the new Obsethed and gtgone?

Gone is the 10/20 (mm rise / cm run) “All-Terrain Rocker” in both the tip and tail. The new Obsethed features K2’s 20/40 “Powder Rocker” in the tip, while keeping the “All-Terrain Rocker” in the tail.

What is the SPIKES protocol for Breaking Bad News?

Breaking bad news is a complex communication task, but following the SPIKES protocol can help ease the distress felt by the patient who is receiving the news and the healthcare professional who is breaking the news.

https://www.youtube.com/watch?v=e4nb_E89HDU

What does Spike look like in real life?

Spike is usually dressed in a blue leisure suit, with a yellow shirt and Lupin III-inspired boots. He also occasionally wears a long brown trench coat. He is often seen with a cigarette between his lips, even if it’s raining or there’s clearly a ‘No Smoking’ sign where he is sat, standing or walking through.

What is a spikes letter?

Each letter represents a phase in the … SPIKES: a framework for breaking bad news to patients with cancer Clin J Oncol Nurs. 2010 Aug;14(4):514-6.doi: 10.1188/10.CJON.514-516. Author Marcelle Kaplan 1 Affiliation

What are the spikes in Sonic Advance?

In Sonic Advance, the spikes consist of five gray metal spikes per set that are closely packed together. Once again though, they have no base panels. In this game, the spikes appear in every Zone. Also, Casino Paradise Zone and Angel Island Zone feature moving platforms that have spikes on the top or bottom.

What are technical spikes and functional spikes?

Technical and Functional Spikes. Spikes primarily come in two forms: technical and functional. Functional spikes – They are used to analyze overall solution behavior and determine: How to break it down. How to organize the work.

What is an exploration spike in safe?

Spikes. Spikes are a type of exploration Enabler Story in SAFe. Defined initially in Extreme Programming (XP), they represent activities such as research, design, investigation, exploration, and prototyping. Their purpose is to gain the knowledge necessary to reduce the risk of a technical approach, better understand a requirement,…