Using the SBAR4 model for management of a patient with complex comorbidites in the home care setting - A case study

This home care case illustrates how the SBAR4 model can be used for a complex patient during a transitional care period to define the active problems at hand and the conditions needed to ensure successful outcomes of the management plans. Two home visits are described in this article: first, a home visit done after multiple hospital admissions for fluid overload and congestive cardiac failure; and second, a subsequent visit done after a fall with a resultant clavicle fracture impacting patient’s function and self-care abilities

Using the SBAR4 model for Management of a Patient with Complex Comorbidites in the Community Hospital - A Case Study

Patients who require a stay in a community hospital usually tend to be more complex, presenting not only with biomedical issues with complications, but also with a myriad of psychological and social issues as well. If they were to be discharged from an acute hospital directly to primary care and community, the patients and caregivers may feel helpless, overwhelmed and unsure of how to navigate the healthcare system to get their complex issues sorted out. Family physicians in the community hospitals need to hone their skills in such an area of care. The SBAR4 model can be effectively used to categorise the patients’ multiple bio-psycho-social issues, coordinate the multi-disciplinary team to bring hospital and community resources to help such patients, provide holistic care for such patients, and transit them safely into the care of our family physicians in primary care and community.

An approach to managing patients with complex Co-morbidites for family physicians: the SBAR4 model

Providing comprehensive and continuing care to patients is the forte of family physicians. The burden of providing such care to patients with complicated co-morbidities is increasing rapidly in ageing populations. Primary care systems around the world are ill equipped to face such a challenge. Family physicians need to hone their skills in this area of care. In this article, we introduce the SBAR4 model and propose it as a framework for managing patients with complex co-morbidities. This model is easy to learn and use by family physicians as it is based on the familiar SBAR model of clinical communication and Pendleton’s 7 Tasks of consultation. We believe that the SBAR4 will assist the clinician to assess patients with complex co-morbidities and map out a comprehensive care plan that can be easily understood by a multidisciplinary team caring for such patients.

An Approach to Caring for Patients with Complex Co-Morbidities for the Family Physicians: The SBAR4 Model for Complex Co-Morbidities

Providing comprehensive and continuing care to patients is the forte of family physicians. The burden of providing such care to patients with complicated co-morbidities is increasing rapidly in ageing populations. Primary care systems around the world are ill equipped to face such a challenge. Family physicians need to hone their skills in this area of care. We propose the use of the SBAR4 model as a framework for managing complex co-morbidities. This model is easy to learn and use by family physicians as it is based on the familiar SBAR model of clinical communication and Pendelton’s 7 Tasks of consultation. We believe that the SBAR4 will assist the clinician to assess patients with complex co-morbidities and map out a comprehensive care plan that can be easily understood by a multidisciplinary team caring for such patients.