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Supportive Care

SPIKES: A Framework for Breaking Bad News to Patients With Cancer

Marcelle Kaplan
CJON 2010, 14(4), 514-516 DOI: 10.1188/10.CJON.514-516
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. Each letter represents a phase in the...
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Evidence-Based Practice

Developing a Journal Club at Your Institution

Susan K. Steele-Moses
CJON 2009, 13(1), 109-112 DOI: 10.1188/09.CJON.109-112
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Article

Oncology Nurses' Perceptions of Barriers to Discussion of Fertility Preservation With Patients With Cancer

Lindsey King
Gwendolyn P. Quinn
Susan T. Vadaparampil
Clement K. Gwede
Cheryl A. Miree
Crystal Wilson
Heather Clayton
Karen Perrin
CJON 2008, 12(3), 467-476 DOI: 10.1188/08.CJON.467-476
Infertility is a common result of cancer treatment; however, opportunities exist for patients to preserve fertility prior to treatment. Recent evidence suggests that healthcare providers, including nurses, do not consistently discuss fertility preservation (FP) with patients. This qualitative,...
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Article

Back to Basics: Assessment, Communication, Caring, and Follow-Up A Lesson From a Couple's Journey With Multiple Myeloma

Sharon K. Coon
Judi McBride-Wilson
E. Ann Coleman
CJON 2007, 11(6), 825-829 DOI: 10.1188/07.CJON.825-829
Ian was a patient with multiple myeloma. His wife, Judi, chronicled their journey and experiences with myeloma and the healthcare system. Through her own eyes, Judi provides a view of the positive and negative consequences of actions or omissions by the healthcare team. The other authors, oncology...
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