Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-TALK — Communication Check

Barriers to communication and support. · Group R Communication and relationships · Links to: R1–R16

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Language	0 · Shares a language with staff	1 · Partly	2 · Needs interpreter
Hearing / speech	0 · Clear	1 · Some difficulty	2 · Cannot hear or speak
Understanding	0 · Understands	1 · Needs repeats	2 · Does not understand
Family / support	0 · Good support	1 · Some support	2 · No support or conflict

⚠ Red flags — escalate at once regardless of score

Signs of abuse or neglect

Total: 0 — select a score for each item

Score	Level	Action
0–2	Low	Routine
3–5	Medium	Use aids, simple words, picture cards
≥6	High	Interpreter, social work referral

Nursing notes / action taken

⬇ Blank form (PDF)