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Communication frameworks

SOCRATES pain assessment
تقييم الألم باستخدام SOCRATES
  • Site
    مكان الألم
    Where exactly is the pain?
  • Onset
    بداية الألم
    When did it start? Did it start suddenly or gradually?
  • Character
    طبيعة الألم
    What does the pain feel like: sharp, dull, burning, crushing or stabbing?
  • Radiation
    انتشار الألم
    Does the pain travel anywhere else?
  • Associated symptoms
    الأعراض المرافقة
    Do you have nausea, sweating, shortness of breath or dizziness?
  • Timing
    التوقيت
    Is it constant or does it come and go?
  • Exacerbating/relieving factors
    العوامل التي تزيد أو تخفف الألم
    Does anything make it better or worse?
  • Severity
    شدة الألم
    On a scale from 0 to 10, how bad is it?
SBAR handover
التسليم الطبي باستخدام SBAR
  • Situation
    الوضع الحالي
    I am calling about a patient who is deteriorating.
  • Background
    الخلفية
    They were admitted with pneumonia and have become more breathless.
  • Assessment
    التقييم
    Their oxygen requirement has increased and I am concerned about sepsis.
  • Recommendation
    التوصية
    Could you review them urgently, please?
ICE
الأفكار والمخاوف والتوقعات
  • Ideas
    أفكار المريض
    What do you think might be causing this?
  • Concerns
    مخاوف المريض
    Is there anything you are particularly worried about?
  • Expectations
    توقعات المريض
    What were you hoping we could do today?
SPIKES for difficult conversations
نموذج SPIKES للمحادثات الصعبة
  • Setting
    المكان والتحضير
    Choose a private space and reduce interruptions.
  • Perception
    فهم المريض
    Can I check what you understand so far?
  • Invitation
    طلب الإذن
    Would you like me to explain the results now?
  • Knowledge
    تقديم المعلومات
    Give information in small chunks without jargon.
  • Empathy
    التعاطف
    I can see this is very difficult to hear.
  • Strategy and summary
    الخطة والتلخيص
    Summarise next steps and support.