أطر التواصل
Communication frameworks
SOCRATES pain assessment
تقييم الألم باستخدام SOCRATES
- Siteمكان الألمWhere exactly is the pain?
- Onsetبداية الألمWhen did it start? Did it start suddenly or gradually?
- Characterطبيعة الألمWhat does the pain feel like: sharp, dull, burning, crushing or stabbing?
- Radiationانتشار الألمDoes the pain travel anywhere else?
- Associated symptomsالأعراض المرافقةDo you have nausea, sweating, shortness of breath or dizziness?
- TimingالتوقيتIs it constant or does it come and go?
- Exacerbating/relieving factorsالعوامل التي تزيد أو تخفف الألمDoes anything make it better or worse?
- Severityشدة الألمOn a scale from 0 to 10, how bad is it?
SBAR handover
التسليم الطبي باستخدام SBAR
- Situationالوضع الحاليI am calling about a patient who is deteriorating.
- BackgroundالخلفيةThey were admitted with pneumonia and have become more breathless.
- AssessmentالتقييمTheir oxygen requirement has increased and I am concerned about sepsis.
- RecommendationالتوصيةCould you review them urgently, please?
ICE
الأفكار والمخاوف والتوقعات
- Ideasأفكار المريضWhat do you think might be causing this?
- Concernsمخاوف المريضIs there anything you are particularly worried about?
- Expectationsتوقعات المريضWhat were you hoping we could do today?
SPIKES for difficult conversations
نموذج SPIKES للمحادثات الصعبة
- Settingالمكان والتحضيرChoose a private space and reduce interruptions.
- Perceptionفهم المريضCan I check what you understand so far?
- Invitationطلب الإذنWould you like me to explain the results now?
- Knowledgeتقديم المعلوماتGive information in small chunks without jargon.
- EmpathyالتعاطفI can see this is very difficult to hear.
- Strategy and summaryالخطة والتلخيصSummarise next steps and support.