The Use Of Spikes Protocol In Cancer: An Integrative Review

Abstract

This is a review which aims to evaluate the use of the SPIKES protocol in Oncology. We selected articles written in English published in MED-LINE and CINAHL databases between 2005-2015, with the descriptors defined by the Medical Subject Headings (MeSH): cancer, neoplasms, and the uncontrolled descriptor: SPIKES protocol. Six articles met the inclusion criteria and were fully analyzed; three thematic categories were established: aspects inherent to the health care professional; aspects related to the patient and aspects related to the protocol. The main effects of the SPIKES protocol can strengthen the links between health professionals and patients, and ensure the maintenance and quality of this relationship. The results indicate an important limiting factor for effective doctor-patient relationship; the lack of training provided to medical professionals for the communication of poor diagnoses, verified by the difficulty reported in this moment through interviews in the analyzed studies.

Clinical management of chemotherapy in geriatric patients

“…2 By a cultural inheritance or even personal formation, each human being carries within himself this individual representation of death, to which are attributed influences of the social life, means of communication and peculiarities of each individual that contribute to its mystification. 3 The nursing professional is the person who is closest to the patient in difficult times and is the one the patient and the family seeks when they need explanations or immediate care. It should be seen that the nurse needs to understand and deal with the feelings that the oncological disease causes such as the suffering, anguish, fears that may arise in situations involving this care.…”