Comms Frameworks

Question 1

Can you outline the 5 Es?

Answer 1

• Establish (ICO) - Intro, check comfort, open question
• Explore - Hx | DISC | SPIKES etc
• Educate
• Empathise - NURSE
• Exit (RuSH) - Recognition of problem | Support | Home - method of getting there

Question 2

Framework for empathy?

Answer 2

NURSE for empathy

• Name the emotion
• Understand the emotion - state understanding but not “I know how you feel”
• Respect the emotion - Apologise
• Support the emotion - Follow up, specialists, groups
• Explore the emotion - ICE

Question 3

Capacity assessment framework?

Answer 3

Capacity Assessment - Orientation & URWC

• Ensure orientation to time, place and person and not altered by illness, drug, coercion or other external factor
• Understand
• Retain
• Weigh up and use information
• Communicate it in any form