However the player must strafe quickly away from the Spikes after taking the damage as the Spikes will do more damage as the player slides down on them. Here is proof. Spikes in Spelunky are less dangerous than video games have taught players to believe. Only the tips of the Spikes are deadly, so touching them from the side and walking through them is harmless. Dropping onto spikes from above is lethal, even from this height. Lots of death in a small package Spikes are a dangerous environmental hazard that can be found in all areas of the caves, and can be mounted on the ceiling in ceiling traps. They are perfectly safe to walk through from the side, but landing on spikes from above will result in instant death. The only way to safely drop down on to spikes is via use of a rope or the cape, parachute, or by performing a flip-hang directly into the spikes. Spikes are a reason not to blindly drop into a pit, no matter how close you may be to the goal. Area 2 Spikes A typical spike pit in the Jungle.
Drainage Three wavy line widen grooves ensure the drainage ability and self-cleaning performance. carbide strips and plates 7). carbide rings and rollers 9). carbide wear resistant parts 10).
Do not discourage tears or silence, this may be a processing strategy that is necessary to fully come to terms with the situation. Provide support. [11] S: strategy, i. devising a strategy for what to do next → Summarize all thoughts and decide where to go from here. Options to discuss may be treatment, setting another meeting, discussing hospice care, or many others. Each situation is unique and it is best to do what is in the best interest of the patient's needs and wants. [13] References [ edit] ^ a b c Kaplan, Marcelle (1 August 2010). "SPIKES: A Framework for Breaking Bad News to Patients With Cancer". Clinical Journal of Oncology Nursing. 14 (4): 514–516. doi: 10. 1188/. PMID 20682509. ^ Dean, Antonia; Willis, Susan (2 June 2016). "The use of protocol in breaking bad news: evidence and ethos" (PDF). International Journal of Palliative Nursing. 22 (6): 265–271. 12968/ijpn. 2016. 22. 6. 265. PMID 27349844. ^ Seifart, C. ; Hofmann, M. ; Bär, T. ; Riera Knorrenschild, J. ; Seifart, U. ; Rief, W. (2014).
Select a category All categories Select a category Enter keywords Enter a comma-separated list of keywords to exclude from this search Measurement Pixels Measurement Min width Min height Shutterstock's safe search will exclude restricted content from your search results 485, 467 spikes stock photos, vectors, and illustrations are available royalty-free. See spikes stock video clips of 4, 855 quirky food concept plant in pots succulents in modern pot growing plant pot wheat ears isolated top view pot of plant white background house plants on white different plant decorative cacti succulent on shelf Try these curated collections Search for "spikes" in these categories Next of 4, 855
or "Is this a good time to share with you what I believe is going on? " allow for the patient to decide if they are ready to hear more and also allows for open discussion to follow. Phrasing is important as you are essentially asking for permission to share unpleasant news with them. The way it is worded shows respect for the patient's feelings and reflects on their readiness to receive news. [11] K: knowledge, i. providing the knowledge to the patient → Speak slowly, maintain eye contact, and use terms both parties can understand. This is the time to explain what the bad news means for the patient. Beware of adding extra details right away as this is the place to be clear and concise of what is happening. E: empathy, i. empathizing with the impact of the news on the patient → Often it is hard to fully understand what is going through the patient's or families' minds. Silence is often best instead of speaking out as everyone is processing emotions. When you feel it is the right time to speak, speak out of empathy and acknowledge that your patient is feeling something.
The SPIKES protocol is a method used in clinical medicine to break bad news to patients and families. [1] [2] [3] [4] [5] [6] [7] As receiving bad news can cause distress and anxiety, [7] clinicians need to deliver the news carefully. [8] By using the SPIKES method for introducing and communicating information to patients and their families, it can aid in the presentation of the material. The SPIKES method is helpful in providing an organized manner of communication during situations that are typically complex and difficult to communicate. According to research related to the SPIKES method, important factors to consider when using this protocol involve empathy, acknowledgement and validation of feelings, providing information about intervention and treatment, and ensuring that the patient understands the news being delivered. [1] The protocol was first proposed in 2000 by Baile et al, in the context of oncology. [9] [10] The name SPIKES is an acronym, where the letters stand for: [9] [1] [8] S: setting, i. e. setting up the consultation appropriately: → This entails never to give bad news by use of phone or in a hallway.
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