Patient’s often try to pretend they understand for fear of minor embarrassment. This is easily solved with repeating the instructions and making the language simpler, avoiding miscommunication.
I feel that the communicating between Patient A and myself worked well during this event. I noticed that she was uncomfortable by her body language and I picked up quickly which method was best to
It’s also important to consider the perspectives of the physicians involved with the decision making process in this dilemma. From the perspective of Dr. Shephard, the patient is her sole obligation and helping a patient get what they wish is important. On the other hand, her associate Alex Karev is against tying the woman’s tubes. He
This woman only understood and spoke Gujarati, and throughout her pregnancy either interpreters were used, or family to translate. Use of relatives or friends as interpreters during sensitive consultations is not recommended (Lewis, 2007). This automatically puts this woman at higher risk as things could have been missed and especially as we did not have a full obstetric history of this woman.
9. A 72-year-old patient with a history of breast cancer has a suspicious mass in her uterus. A biopsy was done. The determination was that the patient had a carcinoma in situ of the uterus. The physician who conducted the surgery called a face-to-face meeting with his fellow surgeons, the patient and the patient's family and discussed the case and the patient's outcome for 30 minutes.
Hello my precious unborn child. I am not really sure where to begin. The doctor is saying that I might not make it through this pregnancy but they will make sure you live to see this crazy world that we live in. I want to make sure that you understand your history and where you come from!
The staff person did not take the correct approach in trying to communicate with the patient. The staff person should have made an effort to obtain a trained interpreter to speak with the patient. If unable to do this, the staff person could have sought to find a staff member who spoke Spanish. However, after touching basis on what the patient is seeking care for, a trained interpreter should be obtained. It is not appropriate to use family members as interpreters since this can result in a breach of confidentiality and misunderstanding of information. The patient son is also a minor, which is another reason he should not be used as an interpreter. This situation was not an emergency that required immediate need of a translator, thus an appropriate interpreter would have been the best approach.
The client is a well-dressed, well-groomed Palestinian female who present to the clinic dressed appropriately in denim jeans, printed top, head scarf and sandals. The client is alert and oriented to person, place, time and situation. The client appears to be younger than her stated age. She appears visibly anxious, flushing noted to bilateral cheeks and clammy hands. The client appears tired with red and sunken eyes. The client is cooperative during the interview, sitting with her legs crossed but her foot was in constant motion. The client also made very large hand gestures when discussing her reason for evaluation. The client reports being very anxious and states “I considered checking myself in the hospital…I know I need help.” The client’s speech is rapid and pressured with a foreign accent. The client’s tone of voice is appropriate with trembling, but fluctuates at times. The client frequently looks for the correct English translation of words
There’s a new currency gaining prominence in American culture; it’s the currency of offense. This currency is based on the perceived value of victimization and people buy, sell and trade with it every day. The pictures on the bills change with the daily news. This particular currency uses the leverage of impugned guilt, and promises gratifying profits in the form of entitlements, forced cultural acceptance and indignation.
My insurance company doesn’t open until 8 and while I knew for a fact that Tubal Ligations were covered, I was worried that maybe the hospital wasn’t in my plan. I tell Michelle, that I would like to wait until 8 to call my insurance. She understands. At 8 am, I am dialing my insurance company when Michelle calls me up to the desk. She informs me that Dr. Gutierrez says she was already expecting me up there and since I am not she is canceling the surgery and leaving because she is very busy. I stammer that my surgery is scheduled for 9:30. Michelle shrugs. At this moment I experience a full anxiety attack. I tell her I would be back and try to collect myself. As my husband assists me with breathing exercises, I finally compose myself to call my insurance.
It is likely that he has genuine concern for her mother and knows the patient better than the healthcare providers. I will encourage him to talk to the doctor in regards to the patient’s diagnosis and treatment. I will let him know as a volunteer, I will not discuss the patient’s potential cancer and my role is to collect detailed and accurate information about the patient’s health. Hence, it is in his mother’s best interest that we use a professional translator. I will then proceed to record the patient’s medical history as well as her son’s input. I will also let the doctor know about the situation and the son’s
The goal for the IVP procedure is to find a way to communicate with the patient, who speaks no English, and to perform this procedure with the present language barrier.
He or she must diligently refer the patient to other health professional within the facility that can provide the reproductive health service. The patient’s travel arrangements and financial capacity
A young woman named D. M., aged twenty-four years old with a free case history and without having a record of a prior birth,is going to have a tubal surgery as she is under a gynecological disorder of hydrosalpinx having developed abnormal distension in the fallopian tubes with fluid.She is going to be operated through a laparoscopy method surgery which is a minimally invasive procedure in the belly cavity where a small incision is made and using a tube with a light and a camera lens at the end (laparoscope), examinesthe targeted organs and checks for abnormalities. This minimally invasive method is generally preferred over an open surgery because of both the less risk that it entails and the close monitoring that it allows.The surgery is going
This patient needs an interpreter for Spanish to assist with discharge instructions. He needs to be informed of the medications the MD discontinued, new meds that are ready to pick up at his pharmacy, the co-pay involved for those medications, proper administration of the medications, side effects and when to call the doctor if there are any adverse effects. He also needs to be taught the importance of fluid restriction to 1500mL/day. This includes water, ice, gravy, soup, ice cream, dairy, soda or other fluids. He needs to be shown an example of how much 1500mL of fluid looks like and taught the importance of daily weights. This patient did not have a scale at home, so he needs to be informed that there are scales available for low cost at a local store. Dietary restrictions of potassium, calcium, phosphorus and protein should also be addressed. He