Scenarios

1. 1

   De-escalation: family concern about delayed pain relief

   Hear a family member’s concern, protect privacy, arrange prompt pain and safety assessment, and confirm who will act and provide updates.

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2. 2

   Consult: urgent abdominal assessment despite pushback

   Present an urgent surgical concern concisely, respond respectfully to a proposed delay, and confirm bedside assessment or an alternative escalation plan.

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3. 3

   Professional boundaries: unwanted personal remarks

   Set a clear limit on personal remarks, protect dignity and access to care, and plan safe continuation, support, and documentation.

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4. 4

   Patient safety: concern about a colleague’s fitness for duty

   State observed concerns respectfully, pause unsafe patient-care duties, and arrange prompt supervisory assessment, qualified coverage, and appropriate support for the colleague.

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5. 5

   Diagnosis discussion: family request to conceal the truth

   Explore a family member’s fears, explain why deception is inappropriate, and plan truthful communication guided by the patient’s own information preferences.

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