My preceptorship is at an urgent care center in Pearland. As it is urgent care instead of a primary care office, the experience of the patients is different in many ways. Upon entering the clinic, there is a basic but equipped a waiting room and a front desk staffed with two administrators. The patient I observed was a middle aged, Latina woman who came to the clinic by car with her husband. The first person she spoke with was the front desk staff who helped her with registration and gave her the paperwork to fill out. She was given Spanish language forms because she was primarily Spanish speaking. It took around 20 minutes for her to fill out all of the paperwork and complete the registration process. While doing this she was sitting in …show more content…
After measuring the patient’s vitals and taking the history, the medical assistant left the room and the patient had to wait another 15 minutes to see the physician. My preceptor speaks limited Spanish and the patient spoke limited English so there was definitely a language barrier when the doctor was interacting with the patient. The husband spoke more English than his wife and translated a few things but overall the interaction switched back and forth between languages and I am sure some information was lost in the mix. The patient’s only complaint was the issue with her ankle and the physician seemed to agree that was the purpose of the visit. The physician was kind and engaging but with the practice being urgent care there wasn’t an existing or future relationship between the patient and the physician again the interaction was different that would have occurred between a patient and their regular primary care provider. The physician tended to ask open ended questions but with the language barrier she had to ask more directive questions too. The physician was seated on a stool for most of the visit because she was examining the patient’s ankle while she was asking her history questions. She washed her hands upon entering the room and before exiting the room. There was not a lot of silence during the visit, the physician did interrupt the patient a few times. I don’t
Non-English speaking citizens and immigrants are receiving improper medical care because of the miscommunication. The people who cannot speak English well are misunderstood, when they go to free clinics or hospital emergency rooms and attempt to explain their symptoms and illness or cannot understand the doctors or medical profession that are trying to help them. ” Interpreters are omitting questions about drug allergies. Patients are not telling nurses the correct symptoms. A mother misunderstood by putting oral antibiotic into the ears of the child instead of the mouth. The Puerto Rican word for mumps is not the same in Central America, so a child was mistreated. A doctor mistakenly told a parent to put a steroid crème on entire child instead of just the face” (Yolanda Prtida, 2005). Language barriers in the medical field are dangerous and some times even fatal. There is definitely a need for more translators in hospitals and doctors office. Clear communication is essential for safe quality healthcare. Poor communication can lead to disastrous outcomes, especially for patients with limited or no English ability.
According to American Nurses Association nursing can be defined as “the protection, promotion, and optimization of health and abilities, prevention of illness”. (American Nurses Association 2016) Nursing is a career where a person, should have compassion, a caring heart, and be devoted to their client care. Sometime person goes into the nursing field for the money, job stability, and because a person 's family member wants them to go into the nursing field. I feel like the future of nursing have yet to be determined.
(2013) discussed the issue of lack of english skills being a primary barrier for patients receiving adequate health care. The article also mentions how studies have shown that Spanish speaking Latinos are less satisfied with the health care that they received in determine whether comparison to their English speaking counterparts. The purpose of the study was to Spanish speaking Latinos have an increased quality of care when provided with an interpreter during their visit. The population for the study was 30 patients in the Washington, DC metropolitan area, whose primary language was spanish. The intervention implied that the use of interpreters will improve the quality of healthcare received by non english speaking patients. The comparison aimed at urging providers to make an effort to provide legally appropriate care to patients who are unable to speak english. The outcome of the study was that miscommunication between healthcare workers can end up causing medical mistakes and liabilities. It was found that when facilities provided patients with interpreter services, the patient perception of quality care was
My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).
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.
Since the hospital was huge, some patients came from other countries, and they could not speak English. So, I needed an interpreter to translate English to their language. First time, I went with Jake, and we had a hard time to give direction to patient’s mother how to use the medication. Second time, I watched a pharmacist gave counseling to the patient’s grandfather. The pharmacist made the grandfather could find the right medication and drew the right dose for the patient. She said I needed to make sure that they understood everything correctly, and I needed to spend more time with them for
In this case the biggest issue that the doctor faces was the language barrier and he could not talk to his patient and try to simplify the situation. Social worker
Most people that speak English have little or no problem understanding his or her healthcare provider when they seek medical services; this situation is not as common as it was just 30 years ago. The continued growing lack of quality health care caused by the language barrier has produced federal regulations to help bridge this gap, helping to better ensure all patients receive equal quality care. It is imperative that the patient have options to choose from to remove or decrease the patient-provider miscommunication barrier.
Lucy, that was great that you were there to educate and advocate for your patient. Often I have witnessed illiterate individuals will just nod as if it appears the individual understand instructions. According to Prins and Mooney, illiterate individuals are more likely to have inadequate knowledge of disease management, unlikely to use preventive health services, and are at increased risk for poorer health status (Prins & Mooney, 2014). It is apparent that the patient and the family did not understand what comfort cares were and the patient’s rights to adequate treatment. I wonder if an interpreter was utilized during the health consultation with the patient and the patient’s family.
Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of
The social and cultural barriers are illustrated. It is found that there is more misunderstanding in serving the patients that are form the other culture and those results less compliance and less satisfaction to the patients (Shouten, 2006). It is imperative for the doctors to understand that a person’s culture is not only the different in terms of dress, diet and etiquettes but the ethics and values as well (Kleinman, 2006). The first barrier is the language barrier. The barrier takes place because Mexican people generally speak Spanish and they are unable to pronounce correctly. It is evident that many Mexican have language barriers. Another barrier is the false fluency as the American doctors may have interpreted wrongly the meaning of Spanish word (Juckett, 2013). It is due to unfamiliarity with the linguistic and cultural aspects of Mexico. Doctors are unable to understand the reading and writing skills of the patient and her family. They may be unable to understand the listening and speaking skills of family. Doctors and medical care unit might have found it difficult to obtain the self treatment that generally Mexican people prefer. Other social obstacles are illegal immigration, different set of health belief and illiteracy of the Mexican family that has caused the issues for the doctors to communicate. the cultural differences between America and Mexico such as offering importance to family than work by Mexican people may not be well understood by the American
Most of the patients were Hispanic and spoke only Spanish and some limited English. Since then, I spent two years in Fiji Islands working on a community health empowerment project for the Peace Corps. It was at this time I encountered cultural health practices so vastly different than my own, it took me two years just to begin to understand. Although most of the local beliefs were rooted in folklore rather than science, I had to learn to reach patients in a way that would continue to respect their beliefs while still providing health education they would understand. I believe this experienced has forever changed the way I view and understand the importance of providing culturally sensitive and competent care. I believe all people, from all walks of life, deserve access to adequate
This is essay is going to examine the principles of nursing and health. In order to do this it must look at the concept of health then describe the dimensions that make up health. Secondly, an adult individual will be chosen in order to discuss the determinants that affect their health. It will then go on to explain the underpinning professional, ethical and legal principles that would be taken into consideration if the individual were to require nursing care. Finally, it will identify how carrying out this assignment has informed the writers personal concept of nursing.
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.