💬 R · Communication and relationships
16
statements14
actual2
risk0
urgentRecommended assessment — CarePath tool: CP-TALK Communication Check (interactive scoring) · Validated scales: Communication barrier checklist
| Code | Problem statement | Type | Description | First 3 actions |
|---|---|---|---|---|
| R1 | Difficulty speaking or being understood | Actual | Speech is unclear, limited, or absent, so needs are hard to communicate. | Speak slowly · Use yes or no questions · Use picture boards |
| R2 | Difficulty hearing or seeing | Actual | Hearing or vision loss limits communication, safety, or understanding. | Check hearing and vision aids · Reduce noise · Face the patient |
| R3 | Feeling alone or cut off from others | Actual | The person has little contact or connection with other people and feels isolated. | Encourage contact · Arrange visits · Link to community groups |
| R4 | Struggling with family or work roles | Actual | Illness prevents the person from carrying out usual roles. | Explore feelings · Help redefine roles · Involve family |
| R5 | Family caregiver overwhelmed | Actual | Tiredness, stress, or strain in the person who gives unpaid care. | Acknowledge her effort · Teach skills · Encourage breaks |
| R6 | Conflict or breakdown in family support | Actual | The family cannot work together or support the patient. | Hold a family meeting · Give facts · Mediate |
| R7 | Difficulty trusting or cooperating with care | Actual | The person resists or distrusts treatment, staff, or advice. | Build trust · Listen · Explain reasons |
| R8 | Not enough help at home | Actual | Home support is too little for the person's needs. | Assess needs · Arrange home care · Involve family and a social worker |
| R9 | Language barrier | Actual | The person and staff do not share a common language. | Use a qualified interpreter · Use simple words and pictures · Give translated leaflets |
| R10 | Trouble understanding health information | Actual | Low reading ability or health literacy makes instructions hard to follow. | Use plain words · Short steps · Teach-back |
| R11 | Relationship or intimacy difficulty | Actual | Illness or treatment strains close relationships. | Create a private safe space · Give information · Include the partner |
| R12 | Abuse or neglect in the family | Actual | Signs that a family member is being harmed or not properly cared for. | Observe and document · Speak privately · Ensure safety |
| R13 | Parenting difficulty | Actual | A parent struggles to meet a child's physical, emotional, or safety needs. | Teach skills · Praise efforts · Arrange support |
| R14 | Weak bond between parent and baby | Risk | Early bonding may be delayed by separation, illness, or stress. | Encourage touch and skin-to-skin care · Involve her in care · Explain baby's cues |
| R15 | Loss of privacy or dignity | Risk | Care may expose the person or treat them with less respect than they deserve. | Use curtains and screens · Knock before entering · Keep covered |
| R16 | Care conflicts with culture | Actual | Care routines clash with the person's cultural practices or values. | Ask respectfully · Adapt where safe · Involve family and chaplain |