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e SBAR4 framework, proposed by Lee et al12 in an earlier publication on complex care combines the elements of the SBAR model of inter-disciplinary communication as well as the tasks of consultations described by Pendleton. ese elements include understanding the Situation and Background of the case. Assessment refers to identifying the active issues at hand. e “4” refers to the 4 “R” elements in the framework: Recommendation, Resource, Responsibilities, and Relationship. ese 4 elements are important factors to consider when managing a complex case.

Using the SBAR4 model for Management of a Patient with Complex Comorbidities in the Home Care setting – A Case Study