Hospital Comunications Book

The Hospital Communication Book
Full of useful images and advice to help you communicate with people with a wide range of needs in hospital.
The Clear Communication People
[ Option Set One - Prism ]
The Clear Communication People Ltd


About this book
The Clear Communication People Ltd developed the original Hospital Communication Book in 2005. Version 2 was developed in 2008.
Version 3 is the result of three years development and testing.
This book could be a useful aid for a range of different people, including:
• People with a learning disability.
• People who have a hearing impairment.
• People with an acquired illness or injury that impairs their communication.
• People with autism.
• People for whom English is not their first language.
See pages 55 - 58 for tips on communicating with people with a range of impairments.
The images we have used.
All the illustrations used in this book are from our Easy Pics imagebank.
They have been developed in partnership with people
with learning disabilities and nursing staff with experience
of supporting people to communicate in hospital. 0 5 10
They are drawn to look like what they represent. We avoid abstract symbolic images which people often need to learn before they can understand them.
Accessing our images online.
You can use our images to make up simple communication tools and visual aids tailored to individual’s needs.
Our Easy Pics imagebank is free to use for non-commercial purposes.
See page 4 for more information.
The ‘free’ online version.
You are free to print sections of this book for personal use. You can also print a copy for each person you support.
Find out more at: www.communicationpeople.co.uk
Page 2


Contents
Page 3
Section 1
• Pages 6
• Pages 7 - • Pages 9 - • Pages 14 • Pages 16 • Pages 18
8 13
- 15 - 17 - 20
My basic needs
Allergies contents
Impairments, health conditions and communication Things I may need
Places and clothes
Personal hygiene and personal care
Mobility aids and moving
Section 2
• Pages 22 • Pages 23 • Pages 24 • Pages 26 • Pages 27 • Pages 30
- 25 - 29
Food and drink
Dietary needs Help with drinking Drink choices Help with eating Food choices
Nil by mouth
Section 3
• Pages 32 • Pages 34 • Pages 36 • Pages 37 • Page 39 • Pages 40
- 33 - 35
- 38 - 42
How I am feeling
Pain images
Male and female body images Pain scale
Signs and symptoms
Bristol Stool Chart
Maternity
Section 4
• Pages 44 • Pages 45 • Pages 46 • Pages 50
- 49
Tests and treatment
Treatments
Tests and observations Tests and treatments X-Ray
Section 5
• Pages 52 • Pages 54 • Pages 55 • Pages 59
- 53 - 58
Communication tools
Days, dates, letters and times British Sign Language alphabet Communication tips
Going home


Other useful resources
This communication book links with other resources developed that may help you support people in hospital. Most of these resourses are free to use.
This is me
My Care Passport
It should be kept with me and brought with me into any care setting, including hospital.
Click here to add your photo from your computer
My name is:
I like to be known as:
Please return my passport to me when I go home.
This is essential reading for all staff working with me. It gives important information about me. This passport should be kept visible and used when you talk to me or think about me.
Things you must know to keep me safe
Things that are important to me
My likes and dislikes
This passport is a pdf file that can be typed into, saved and updated using Adobe Acrobat Reader.
Go to: www.surreyhealthaction.org to download it free of charge. You could also print it off and write on it.
‘This is me - My Care Passport’
A passport can be filled in by a person with their supporters and brought into hospital with them. It gives hospital staff important information about people’s needs, likes and dislikes. Many areas have their own version of a passport.
Ours is free to use and can be found at www.surreyhealthaction.org
‘Getting Ready’ Easy Read factsheets
• Getting ready for my visit to hospital
• Getting ready for my stay in hospital
• Getting ready to go home from hospital
• Making choices about my health - consent, capacity and best interest
They are free to download from www.surreyhealthaction.org
Getting ready for my stay in hospital
Version 1 - Auguist 2013
An Easy Read guide to planning for your stay in hospital
65430 2155 210
The illustrations above are from The Hospital Communication Book.
This picture book is free to download and use while you are in hospital.
Go to: www.communicationpeople.co.uk
Developed and designed by The Clear Communication People Ltd
Appointment for: Mike Leat
Friday
Ambulance
DYaotuer fhoorsypoitaulrahpepaolitnhtmcehnetck
9th July 2010 11-20am
The appointment is at:
Madeup health clinic High St
Newtown Surrey GT23 5RD
01465 767676 [email protected]
PlePaleseastellttehlel tshuergheoryspifityaoluifccaann't ’ctocmoemfeortoyotuhrisheaapltphocinhetmckeonnt Created at www.surreyhealthaction.org
thi
s date
Easy Read appointment letters
This is an online tool that makes it easy to create an illustrated appointment letter. There is a letter that uses a hospital image, and one where you can insert your own photo.
The letters are free to use and can be found at www.surreyhealthaction.org
Pre Hospital Communication Guide
Helping you communicate with people with a range of different needs
The Pre Hospital Communication Guide.
Developed in partnership with the London Ambulance Service NHS Trust.
This illustrated pocket communication book is widely used by paramedics and accident & emergency departments. Find out more at: www.communicationpeople.co.uk.
Easy Pics online imagebank
This is our free to use imagebank. It has illustrations from this book as well as many other images. You can use the images non-commercially to make your own communication aids.
Go to: www.flickr.com/photos/easy-pics/collections
Page 4
o
c
36.8


My basic needs
This section can help people tell you about themselves and say what they want and need.
There are only six large images on most pages to make them as clear as possible.
There are different ways you can use this section, including:
• enabling people to tell you things they may want or need.
• offering choices to people.
• explaining what is happening next.
The yes/no images can help you check understanding and consent.
Pictures are just one way of offering choice. Using the physical object also works well for many people. See page 55 for more information about supporting communication.
Things I may need
TV
Magazine
Mobile phone
P
Internet
Book
Music player
X
Page 12
Page 5
Google
EXCLUSIVE!
MAG!
READING BOOK
A. N. OTHER
CELEBRITY


Allergies
Medicine
Peanuts
Peanuts
Insects
Latex
Plasters
PX Page 6


Impairments and conditions
Do you have an impairment?
Physical Visual Hearing
Do you have any of these health conditions?
Diabetes
Asthma Epilepsy
Many people will have a care passport that tells hospital staff about their needs.
Most passports use the ‘traffic light’ colour code for essential, important and useful information.
See page 4 for more information about passports.
This is me
My Care Passport
It should be kept with me and brought with me into any care setting, including hospital.
Click here to add your photo from your computer
My name is:
I like to be known as:
Please return my passport to me when I go home.
This is essential reading for all staff working with me. It gives important information about me. This passport should be kept visible and used when you talk to me or think about me.
Things you must know to keep me safe
Things that are important to me
My likes and dislikes
This passport is a pdf file that can be typed into, saved and updated using Adobe Acrobat Reader.
Go to: www.surreyhealthaction.org to download it free of charge. You could also print it off and write on it.
PX Page 7
2.8
0


Communication
Language translation
A person with an acquired injury or condition may revert to using their first language.
British Sign Language
See page 54
Electronic aid
Makaton
See page 55
Lip reading
PX Page 8


Things I may need
Female doctor
Male doctor
Male nurse
Female nurse
Visitor
Privacy
P
X
Page 9


Things I may need
60 50 40
25 30 15 20 5 10
Medicine
Tablets
Inhaler
False teeth
Glasses
Hearing aid
PX Page 10


Things I may need
Toilet
Phone
P
X
Hot drink
Cold drink
Meal
Snack
Page 11


Things I may need
TV
Internet
Magazine
Book
Mobile phone
P
Music player
X
Page 12
Google
EXCLUSIVE!
MAG!
READING BOOK
A. N. OTHER
CELEBRITY


Things I may need
Light on
Bank of England Ten Pounds
Light off
£10 Money
50
Pen and paper
Smoke
12
Watch
PX Page 13
11
1
10
2
9
3
8
5
7
6


Places
Ward
Private room
Multi faith room
Garden
P
X
Shop
Cafe
Page 14


Clothes
Hospital gown
Day clothes
P
Slippers
Shoes
Pyjamas
Dressing gown
X
Page 15


Personal hygiene
Hand gel
Wash
Bath
Deodorant
Shower
Brush teeth
P
X
Page 16
SOAP


Personal care
Toiletries
Shave
Nail care
Mouth care
Hair wash
Feminine care
X
P
Page 17
SOAP


Wheelchair
Walking frame
Mobility aids
Crutches
Tripod cane
Walking stick
P
Guide stick
X
Page 18


Moving
To a bed
To a chair
X
Don’t walk
P
Turn over
X
Page 19


Moving
Hoist
Transfer board
Porter - bed
P
Porter - wheelchair
X
Page 20
120kg


Food and drink
Helping people make food & drink choices and to tell you their needs.
The first page in this section has images that may help people tell you about any dietary needs.
There are images to help people say they need help eating or drinking.
• there are a wide range of images for both hot and cold drinks.
• there are a wide range of images of snacks and meal time foods.
The yes/no images can help you check understanding and consent
Pictures are just one way of offering choice. Using the physical object can be better for many people. You may want to offer the snack/drinks themselves for people to choose.
Meals and puddings
Sandwich
Toast
Pudding
Meal
Cereal
Ice cream
Jacket potato
Oats
Porridge
Soup
PX Page 28
Page 21


Dietary needs
Kosher
Halal
Dairy Free
Dairy free
Gluten free
Vegetarian
Vegan Vegan
PX Page 22













Help with drinking
The image below can be copied and used as a visual aid above a person’s bed
I need help to drink
It is vital that people drink enough fluid.
Dehydration is a serious risk to health.
Some people may not be able to say they are thirsty and may not be able to drink without support or the right equipment.
Adapted cup Cup with straw Thickener
PX Page 23


Cold drinks
Flavours
Water
Juice
Fruit Squash
Squash
Milkshake
Fizzy drink
PX Page 24
FRUIT
FRUIT
Diet


Hot drinks
Tea
Coffee
Decaf
Herbal tea
Fruit tea
Hot chocolate
Milk Soya milk
sugar
Sugar
Sweetener
PX Page 25


Help with eating
The image below can be copied and used as a visual aid above a person’s bed
I need help to eat
It is vital that people eat well in hospital.
Some people may not be able to say they are hungry and may not be able to eat without support or the right equipment.
Adapted cutlery Food cut up Food liquidised
PX Page 26


Snacks
Banana
Apple
Orange
Biscuits
Crisps
Yogurt
Cake
P
Chocolate
Sweets
X
Page 27


Meals and puddings
Sandwich
Meal
Jacket potato
Oats
Porridge
Toast
Pudding
Cereal
Ice cream
Soup
PX Page 28


Fillings and toppings
Butter
chocolate
Chocolate spread
Jam
Marmalade
Baked beans
Cheese
Tuna
Ham
Jam Egg
Tuna Egg
PX Page 29


Nil by mouth
X
No food
X
No drink
Page 30
Page 30


How I am feeling
This section can help people say how they feel, their symptoms and any pain.
As well as pain images there are full body images to help people explain where pain might be.
The simplified pain scale uses four images - no pain to bad pain.
• this page can be useful to enable people to express feelings as well as indicate pain.
• the images used are deliberately kept simple to make the scale as easy as possible to use.
The yes/no images can help you check understanding and consent
There are pages of signs and symptoms which can help people to communicate their health issues. There are also pages specific to maternity.
Pain scale
Page 36
Page 31
Page 31
No Some Bad Very bad pain pain pain pain
0123


Pain
Headache
Neck pain
Sore throat
P
Chest pain
X
Page 32


Pain
Tummy pain
Back pain
Leg pain
Arm pain
X
P
Page 33


Male body
Page 34


Female body
Page 35


Pain scale
Page 36
No Some Bad Very bad pain pain pain pain
0123


Signs and symptoms
Cold
Hot
ZZZ Tired
0C
0C
Dizzy
Palpitations
Breathing difficulties
PX Page 37


Signs and symptoms
Cough
Sick
X
Constipation
Diarrhoea
Rectal bleeding
P
Vaginal bleeding
X
Page 38


Bristol Stool Chart
Attribution: Kyle Thompson is the copyright holder of The Bristol Stool Chart
P
X
Page 39


Maternity
Last period
Pregnant
0 - 8 weeks 17 - 24 weeks
9 - 16 weeks 25 - 40 weeks
How many weeks pregnant are you?
P
X
Page 40
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
123
4 5 6 7 8 9 10 11 12 13 14 15 16 17
18 19 20 21 22 23 24 25 26 27 28 29 30 31
123
4 5 6 7 8 9 10 11 12 13 14 15 16 17
18 19 20 21 22 23 24 25 26 27 28 29 30 31
Calendar
Calendar


Maternity
55 0 5 55 0 5 55 0 5 55 0 5
50 10 50 10 50 10 50 10 45 15 45 15 45 15 45 15
40 20 35 30 25
2 Minutes
40 20 35 30 25
5 Minutes
40 20 35 30 25
10 Minutes
40 20 35 30 25
15 Minutes
How often are your contractions?
Have your waters broken? Have you had a show?
PX Page 41


Maternity
Headache
Pain relief
0
5
10
Ultrasound scan
Flashing lights
PX Page 42


Tests and treatment
This section can help you explain tests and treatments to people.
The images can help people to understand what is happening, reducing confusion and anxiety.
Images range from simple procedures like medicine, to X-rays and scans.
• There are a lot of images of some pages - it may help to cover some images up.
• The images used in this book are available to use individually from our online imagebank.
See page 4 for details of this.
The yes/no images can help you check understanding and consent
Pictures are just one way of explaining what is happening. Using the physical object can be better for many people, for example showing a cannula or a splint.
60 50 40
25 320 15 10 5
Medicine
Bandage
Tuna
Arm splint
Treatment
Tablets
Sling
Jam
Leg splint
Dressing
Plastercast
Egg
Neck brace
PX Page 44
Page 43


Treatment
60 50 40
25 30 15 20 5 10
Medicine
Tablets
Dressing
Bandage
Sling
Plastercast
Tuna
Arm splint
Jam
Leg splint
Egg
Neck brace
PX Page 44


Tests and observations
Pulse
120ml 100ml 80ml 60ml 40ml 20ml
Urine test
Oxygen level
0C
Temperature
Blood pressure
Eye test
PX Page 45
o
c
36.8


Tests and treatment
Blood test
Blood test
Naso-gastric tube
Injection
Cannula
Stitches
P
X
Page 46
2.8


Tests and treatment
Catheter Drip
60 80
Check your heart EEG
Suppository
Enema
PX Page 47


Tests and treatment
O2
O2
Drain wound
Oxygen
Colonoscopy
P
Gastroscopy
X
Page 48


Tests and treatment
CT scan
MRI scan
white (C 0.0, M 20.0, Y 25.0, K 0.0)
mixed (C 25.0, M 32.0, Y 47.0, K 0.0)
asian (C 33.0, M 51.0, Y 79.0, K 11.0
black (C 43.0, M 68.0, Y 90.0, K 48.0)
Ultrasound scan
Surgery
PX Page 49


X Ray
X Ray
Lying down
P
Sitting
Standing up
X
Page 50