Lesson 6: Managing the Flow of the Session Flashcards
what is the most important thing for the 3 members of an interpreted interview
trust
what is a pre-session
a brief conversation with the patient or provider before an interpreted encounter, to establish expectations and guidelines about the interpreter’s role
what is the purpose of a pre-session
- to help build trust
- provide interpreter to establish themselves as a professional
- explain how interpretation will work
- judge linguistic level of the patient
what should a pre-session with a patient include?
- name
- language you are interpreting
- explain confidentiality
- tell them to speak directly to doctor and pause frequently
what should be included with pre-session with the provider?
- name
- target language
- speak directly to patient and pause frequently
If a patient details the medical problem while in the waiting room what should the MI do and asked to repeat it later on in the appointment?
ask them to explain it in their own words and interpret that because patient will include important details
what situation as an MI and patient should an MI tries to avoid?
try to avoid a situation where MI is alone with the patient without the doctor present
what 2 topics should not be included in the pre-session?
- history of patient’s problem
- topics that could be considered controversial (religion, politics, morality, etc)
what are the benefits of the interpreter standing beside the provider, facing the patient?
- the patient can easily see the provider and interpreter
- the patient is more likely to talk to the provider
what are the risks of the interpreter standing beside the provider facing the patient?
- if interpreter is on same side as provider, it can create a power dynamic that intimidates the patient
- the interpreter may get in the way of the provider
- the patient may start speaking directly to the interpreter as shown in the photo
what are the benefits of the interpreter standing beside/behind the patient facing the provider?
- the patient is encouraged to speak directly to the provider
- the patient may have the sense they are being supported by the interpreter beside them
what are the risks of the interpreter standing beside/behind the patient and facing the provider?
- the provider may start speaking directly to the interpreter and not the patient
- the patient may feel that because of the support of the interpreter, it is okay for them to confide in the interpreter and not speak directly to the provider
- the patient may turn to look at the interpreter if they are more comfortable looking at the speaker’s lips
what are the benefits of the interpreter, provider, and patient forming a triangle?
- each person can see the other 2 people equally well
what are the risks of the interpreter, provider, and patient forming a triangle?
- the patient and provider will tend to speaker to the interpreter instead of each other
- the interpreter can become the focus of attention
- the position does not support direct communication between the patient and provider
what is the most ideal position when interpreting
position 2, where the interpreter is beside/behind the patient at a 45 degree angle to the patient
If the most ideal position is not possible for an MI where should the MI stand?
stand in a position that interpreter helps facilitate communication between patient and provider without being disruptive
besides position, what is another important factor that an MI must consider to help facilitate communication?
eye contact; by looking down and avoiding eye contact all together, the MI can remove themselves and discourage others from speaking to the interpreter directly
What are some factors that can make interpreting more difficult?
- family member input
- discussion between residents and attending physicians
- patient refusal of services of the interpreter
Should you interpret what was said by the family members of the patient?
yes
what should an MI do if a family member starts to consult with the patient during a medical interview?
if MI is comfortable, then they should begin interpreting simultaneously
but if everyone starts talking at once, then MI may have to intervene and ask that people take turns speaking
what should MI do if there is a discussion between residents and attending physicians?
If the conversation has technical aspects of the case with the resident, an MI might tell the patient that the resident and attending physician are speaking about the case using very technical words
what should an MI do if the patient refuses services of the interpreter?
Whatever the reason for not wanting an MI, it is important that clinical policy is followed and may require a patient to sign a waiver or get the doctor’s approval
