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. 2019 Sep 19;32(1):19–25. doi: 10.4103/tcmj.tcmj_59_19

Table 2.

The SPIKES acronym [23]

Step 1: S-Setting up the interview
Step 2: P-Assessing the patient’s perception
Step 3: I-Obtaining the patient’s invitation
Step 4: K-Giving knowledge and information to the patient
Step 5: E-Addressing the patient’s emotion with empathic responses
Step 6: S-Strategy and summary