Question 9 The SPIKES Protocol helps guide your discussions of bad news. Which of the following is appropriate for SPIKES? (Choose all that apply) 1 point New chronic illness like Rheumatoid Arthritis that will be life changing. Change in functional status due to advance COPD and need to consider transfer to a nursing home. Medication for Multiple Sclerosis not working as hoped and start of a new drug. New terminal illness or need to move toward comfort care.
