Lecture 5: Pts w/ Communication Challenges

Question 1

When using an interpreter during pt interview what 3 guidelines are absolutely essential?

Answer 1

• Ask for exact translation
• Place interpreter out of the sight-line
• Check for comprehension by asking pt to summarize!

Question 2

What is the proper positioning in the room for you as the doc and the interpreter when interviewing a pt?

Answer 2

• Interpreter next to doc, but slightly behind, out of the doc’s line of sight
• This ensures that you will keep good eye contact with patient at all times

Question 3

Is it acceptable to ask a patient “do you understand?” when using an interpreter?

Answer 3

• NO! This is not enough.
• You need the pt to summarize what they understand to the interpreter before proceeding

Question 4

Which behavior of the patient becomes even more important when utilizing a phone translation service?

Answer 4

Body language of patient

Question 5

When effectively interviewing pediatric patients what are things you should avoid?

Answer 5

• Avoid sudden movement
• Don’t lie! i.e., “will it hurt?” “yes, but only for a second.”

Question 6

If a patient is using specific vocabulary during the interview, how should you adapt to become a more effective communicator?

Answer 6

Use the vocabulary they use!

Question 7

What is the “teach-back” technique used during pt interviews?

Answer 7

• Tell pt you will ask them to listen carefully and repeat back your… (instructions, explanation of illness, or use of medications)
• Tell pt to “repeat back using your OWN words.”

Question 8

Written material used in communication of a patient should be at what grade level?

Answer 8

4th-5th grade level

Question 9

If a patient is illiterate what is an option for helping them differentiate between their meds?

Answer 9

Color code them

Question 10

What are some non-verbal empathetic behaviors that can be used despite communication barriers?

Answer 10

• Touching (especially elderly; only if appropriate)
• Well-timed smile
• Friendly gesture
• Accepting demeanor

Question 11

Is writing notes an acceptable substitute w/ deaf pts who do not orally communicate and instead use ASL?

Answer 11

• NO
• ASL is its own language, with different vocab and grammar than English

Question 12

How do persons that are blind understand others’ mood, style, friendliness, and other features?

Knowing this how should a doc communicate with them?

Answer 12

• Use auditory cues to understand
• Is helpful for doc to check-in w/ their perceptions.
• I.e., “things are going OK for me, but I wanted to check with you how I’m coming across and how our interaction is going”

Question 13

How should your speech be adjusted for someone who is blind?

Answer 13

• Should remain normal and not be “adjusted”
• Blind DOES NOT equal cognitively impaired