Learning Objectives

  1. Describe details involved in the SPIKES Protocol used to inform patients and their families their illness is terminal and they can begin using palliative care.
  2. Discuss managing empathy and strong feelings between family members, the care team and the patient.
  3. Explain the steps using the NURSE acronym for emotional situations clinically.
  4. Review examples of “Say this” not “that” for improved outcomes.