#SOLER is an acronym used to remember the key components of active listening in #therapeutic #communication:

S – Sit squarely facing the client
O – Open posture (uncrossed arms and legs)
L – Lean slightly toward the client
E – Eye contact maintained appropriately
R – Relax and remain attentive

SOLER مخففی است که برای یادآوری اجزای کلیدی گوش دادن فعال در ارتباط درمانی استفاده می‌شود:

S – صاف رو به مراجع بنشینید
O – حالت بدن باز (دست‌ها و پاها بدون ضربدری)
L – کمی به سمت مراجع خم شوید
E – تماس چشمی مناسب برقرار شود
R – آرام باشید و توجه خود را حفظ کنید

a simple mnemonic to remember what Milieu Therapy focuses on:

🔵 M = Meaningful interactions (social environment)
🔵 I = Individual safety (physical environment)
🔵 L = Learning norms (cultural environment)
🔵 I = Independence promotion
🔵 E = Emotional expression support
🔵 U = Understanding therapeutic needs

🌟 Quick way to think about it:
"Milieu = Meaningful Life In Every Usual aspect" — it touches social, emotional, cultural, and physical parts of the patient's daily life to help them heal.
#milieu

phlegm
خلط

The 5 Rights of #Delegation
Quick Mnemonic to Remember:
"T.C.P.D.S." → Tasks, Circumstance, Person, Direction, Supervision.
(You can think of it as: "The Clever Professional Delegates Safely.") 🎯

#Professional #Behaviours Checklist for Culturally Sensitive Care

✅ 1. Act Proactively
Anticipate cultural needs before issues arise.
Notice and challenge discrimination, harassment, or stereotyping early.

✅ 2. Show Respect Always
Respect patients’ cultural beliefs, values, and customs.
Use respectful, nonjudgmental language at all times.

✅ 3. Communicate Clearly and Inclusively
Check for language barriers and offer interpreters if needed.
Use simple, non-medical language when explaining care.

✅ 4. Be Professionally Accountable
Uphold the NMC Code at all times.
Document concerns and escalate issues when necessary (e.g., safeguarding).

✅ 5. Practice Cultural Awareness
Learn about and recognize different cultural health practices.
Avoid assumptions — always ask what matters to the individual.

✅ 6. Empower Patient Choices
Support patients’ rights to make informed decisions that align with their cultural beliefs.

✅ 7. Create a Safe and Inclusive Environment
Advocate for inclusive care spaces (e.g., prayer spaces, culturally appropriate meals).
Foster kindness and fairness across the whole team.

✨ Little Motto to Remember:
"Respect proactively, communicate inclusively, care professionally."

چک لیست #رفتارهای_حرفه‌ای برای مراقبت‌های حساس فرهنگی

✅ ۱. فعالانه عمل کنید
نیازهای فرهنگی را قبل از بروز مشکلات پیش‌بینی کنید.

تبعیض، آزار و اذیت یا کلیشه‌سازی را زود متوجه شوید و به چالش بکشید.

✅ ۲. همیشه احترام نشان دهید
به باورها، ارزش‌ها و آداب و رسوم فرهنگی بیماران احترام بگذارید.

همیشه از زبان محترمانه و بدون قضاوت استفاده کنید.

✅ ۳. به طور واضح و فراگیر ارتباط برقرار کنید

موانع زبانی را بررسی کنید و در صورت نیاز مترجم ارائه دهید.

هنگام توضیح مراقبت از زبان ساده و غیرپزشکی استفاده کنید.

✅ ۴. از نظر حرفه‌ای پاسخگو باشید

همیشه از قانون NMC پیروی کنید.

نگرانی‌ها را مستند کنید و در صورت لزوم (مثلاً حفاظت) مسائل را مطرح کنید.

✅ ۵. آگاهی فرهنگی را تمرین کنید

درباره شیوه‌های مختلف سلامت فرهنگی اطلاعات کسب کنید و آنها را بشناسید.

از فرضیات خودداری کنید - همیشه بپرسید چه چیزی برای فرد مهم است.

✅ ۶. توانمندسازی حق انتخاب بیمار
از حقوق بیماران برای تصمیم‌گیری آگاهانه که با باورهای فرهنگی آنها همسو باشد، حمایت کنید.


✅ ۷. ایجاد محیطی امن و فراگیر
از فضاهای مراقبتی فراگیر (مثلاً فضاهای نماز، وعده‌های غذایی متناسب با فرهنگ) حمایت کنید.

مهربانی و انصاف را در کل تیم پرورش دهید.

✨ شعار کوچکی که باید به خاطر بسپارید:
"به طور فعال احترام بگذارید، به طور فراگیر ارتباط برقرار کنید، به طور حرفه‌ای مراقبت کنید."

🌿 Sage and Thyme Model

Purpose:
Help healthcare staff structure a short conversation to support someone in distress.

🧠 SAGE (Listening Phase)
S – Setting
Create a private and appropriate environment.
➔ "Is now a good time to talk?"

A – Ask
Invite them to talk about their concerns.
➔ "What would you like to talk about?"

G – Gather
Listen carefully without interrupting.
➔ "Tell me a bit more about that."

E – Empathy
Show understanding of their emotions.
➔ "It sounds like you're feeling very overwhelmed."

🌿 THYME (Helping Phase)
T – Talk
Encourage the person to talk, not you.
➔ "What have you thought about doing?"

H – Help
Help them to identify their own solutions.
➔ "Who do you have that you can talk to?"

Y – You
Remind yourself it’s not about fixing the problem for them.

M – Me
Recognise your limits – refer on if needed.

E – End
Close the conversation appropriately.
➔ "Let’s check who you can talk to next."

✨ Key Points
Stay calm and patient.

Don't jump into solving the problem.

Use open questions and listen actively.

Know when to signpost for more help.

🕊 Signs of the #Dying Phase ( #Terminal Phase) – Cheat Sheet

Four Basic Criteria:

Bedbound
➔ Patient is no longer able to get out of bed.

Semi-comatose
➔ Patient has greatly reduced consciousness, minimally responsive.

Only able to take sips of fluid
➔ Oral intake is extremely reduced, mostly sips.

Unable to verbally communicate
➔ Patient can no longer engage in meaningful conversation.

⚡️ Other Common Signs of the Dying Phase

Reduced urine output (very small amounts, dark urine).
Mottled skin (especially hands and feet turning bluish/purple).
Cool extremities (cold hands and feet).
Irregular breathing patterns (e.g., Cheyne-Stokes breathing).
No longer taking oral medications (but this is not one of the core four criteria).
Increasing periods of unresponsiveness.
Changes in vital signs (low BP, weak pulse).

🛑 Important Points for Care

Prioritize comfort over curative treatments.
Communicate clearly with family about expected changes.
Regular mouth care even if patient is not eating or drinking.
Review medications — stop non-essential drugs.

Emotional, spiritual, and psychological support for the patient and family.

📝 Quick Mnemonic for the Four Criteria:

"BEDS"

Bedbound
End-stage consciousness (semi-comatose)
Drinking very little (sips only)
Speech loss (unable to communicate)