Guides/SPIKES! Answer TemplateSPIKES! Answer TemplateIn this page01SettingThe environment you create before a difficult conversation is itself a clinical decision — not an administrative courtesy.02PerceptionThe information a patient already holds — accurate or not — determines how you should deliver yours.03InvitationAsking the patient's permission to share information hands agency back to them at the moment they are most vulnerable.04KnowledgeDelivering information in small, plain-language pieces with deliberate pauses is an assessable clinical skill — demonstrate that you have practised it.05EmotionsResponding to the patient's emotional reaction before resuming information delivery is not a detour — it is the only clinically sound path forward.06Strategy/SummaryThe consultation is not complete until the patient can articulate the agreed plan back to you.Related Pages in this SectionCustomcustom