Examples of triggers that may prompt discussion of social and psychological issues
| Trigger (i): Ambulance service was alerted by the patient's carer or family | ||
| 1 2 3 4 | Sender: | She's 88 years old. She's got a carer. The carer was concerned this morning because she didn't seem herself, increased confusion, agitation and abdominal pain. The patient says she's not sure why she's in today. She's complaining of a bit of a muscular ache around her sternum. |
| Trigger (ii): Patient's current episode was related to their social circumstances | ||
| 1 2 3 4 | Sender | The referral is purely a social. Lady who fell a couple of weeks ago. She's got a pubic rami. She's been trying to cope at home and she hasn't. The OTs [Occupational Therapists] have kindly checked this, but unfortunately no community beds available at all. |
| Trigger (iii): No clear reason provided to admit elderly patient | ||
| 1 2 3 4 | Receiver: | Fine, I mean we don't really feel like this is a chap who probably needs to come in. You know, if his chest's fine we could try him with some simple analgesia, or if you think there might be some pericarditis, but if it is a saddling of the ST segments, or is that what you're thinking? |
| 5 6 | Sender: | Well, we thought it was more of an ST elevation type picture really, rather than saddling. Yes. |
| 7 | Receiver: | But his troponin is negative? |
| 8 | Sender: | Yes. |
| 9 | Receiver: | And he's not had any shortness of breath or [inaudible] at all? |
| 10 | Sender: | Not any shortness of breath worse than normal for him. |
| 11 | Receiver: | OK and what's the situation at home with him? |
| 12 | Sender: | He lives with his partner. |
| 13 14 15 | Receiver: | Yes, OK. I mean I think it doesn't really sound to us too much here that we would kind of do anything about it tonight really. Yes, so I mean obviously the usual kind of safety netting for him, but yes, I don't think we need to see him really. |