How To Write A Medical Case Scenarios

In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.

(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

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 purpose of effective communication in healthcare is to provide first-class medical care, minimal to no medical errors and have precision; and without it there is room for medical errors, poor patient care and an ineffective team that produces undesired outcome. In the professional and patient relationship, the lack of good communication causes the patient to be apprehensive in asking questions, to worry about being bothersome because they feel other patients are sicker, and there is an assumption that the patient does not have any concerns. There are barriers to communication that include only one between the sender and receiver of the message understands the message, cultural differences, and lack of education. In sending the message it is essential that the message is received with clarity, it is concise and complete. If the patient has a language barrier, it can be masked by the patient not responding to information and it is detected as a result of poor or no compliance. In literacy concerns, all information should be presented on a 5th grade level to aid in the comprehension of the information. The care of the patient should be patient/family centered which helps in detecting any language, cultural or literacy barriers (Schyve, 2007). For example, a 46 year old single male patient that is functionally literate is admitted with a diagnosis of acute angina. During the

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

Spanish is not only a language for Cuban, it is also a form of identity. Then, if healthcare providers are able to maintain a basic communication in Spanish, the Cuban patients will show increase respect and trust in their relationship.

If a patient of Cuban descent is assigned, specific nursing considerations are needed such as maintaining eye contact, using body language to help explain any teachings, making the family feel as involved as possible, and keep in mind that the family’s opinion is considered very important. One characteristic of the Cuban culture that must be considered when providing culturally congruent care is eye contact, body language, and talking in close proximity is very important when communicating. A second characteristic is family is very important, the family’s opinion is highly regarded. A third characteristic is the females of the household are the caretakers, therefore, any information about a child’s health or past medical history

They should learn about the different elements in patient-provider interactions and how they can become culturally competent. Medical students should learn about the use of interpreters and the benefits and methods they can practice to create a comfortable environment for their patients. Providers should also keep in mind that a little proficiency in another language can be a dangerous thing (Diamond & Jacobs, 2011), if the provider doesn’t know medical terminology or how to simplify their message in another language then they should use an interpreter because if they can’t effectively communicate their message the patient will not understand what they are

Lack of interpreter services as well as lack of culturally and linguistically appropriate health education materials has been associated with patient dissatisfaction, poor comprehension, low treatment compliance, and lower quality health care (Advocates for Youth, 2008). For example, when predominantly Spanish-speaking patients were discharged from an emergency room, they were less likely than predominantly English-speaking patients to understand their diagnosis, medications, treatment plans, and follow-up care instructions. Consequently, predominantly Spanish-speaking patients were also less likely to indicate satisfaction with their health care and were often reluctant to return for follow-ups (Betancourt

One of my biggest concerns with a medical interpreter is miscommunication. For example, even if a hospital employs an interpreter who speaks Spanish, it might not be the same dialect as the one the patient speaks. Depending on the dialect some words have different meaning and can be interpreted wrong. This is similar to what happened to Teresa Terry. She had both her breasts removed due to a translation error that led doctors to believe she had a family record of breast cancer when she did not. In reality, the lump she had was not cancerous at all, but a miscommunication with her interpreter led doctors to believe she wanted it removed anyway (Kroulek, 2015).

It is important to approach the patient in the appropriate manner to prevent jeopardizing the nurse-patient relationship. The first step a nurse should take is to eliminate any communication barriers. Most Arabs can speak fluent English, but it may be necessary in some cases to facilitate an Arabic interpreter. The nurse should then document the interpreter as an intervention in the patient’s chart (Khalifa, 2012). In the case of the patient not speaking fluent English, the nurse should be aware of nonverbal cues and implement strategies to successfully

3. Average three-day period. The average of Monday, Tuesday and Wednesday to get 47.72 for Thursday. Then did Tuesday, Wednesday and Thursday to get 50.87 for Friday. The project for Saturday by using Wednesday, Thursday and Friday to get 60.47.

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

If knowing the language barrier was an issue may be considering asking for help or insisting another employee who speaks the same language, as the patient would have been a better option to perform the mammogram. If at all

Endocarditis is inflammation close to the inner lining of the left ventricle, which is the endocardium caused by a bacterial infection. Once the bacteria go into the bloodstream then towards the left ventricle of the heart an inflammatory response begins to occur because the immune system cells are not familiar with the foreign bacteria. When the bacteria have been detected, cells such as basophils and mast cells release histamines, a key compound in the inflammatory response. Which causes smooth muscle cells in blood vessels to relax and coronary arterioles to vasodilate.