Working with diversity - Culture + Linguistics Flashcards
What are the 3 most common mother tongue languages other than Eng/Fren in Brit Columbia according to 2016 stats?
- Punjabi
- Cantonese
- Mandarin
T/F : culture and language are not INTRINSICALLY intertwined
False
Health literacy
Degree to which individuals have the capacity to OBTAIN, PROCESS, and UNDERSTAND basic health info and services needed to make appropriate decisions
What did the Eldridge vs BC case in 1997 determine? Why was this so important
Hospitals were required to provide interpreters for DEAF patients
Effective communication is integral to healthcare provision
The onus is on the ___________ ______ providers to make sure that the ______ understands treatment BEFORE providing consent
health care; patient
T/F : there are NO consequences of language barriers/differences in healthcare
FALSE
Who are the people who need to have more frequent ED visits and have longer visits (so not getting professional interpretation) are ____ _____ people
language barrier (people)
T/F : People with an appropriate diagnostic testing are more likely to be those without a language barrier
True
Provide the 2 indirect effects of language barriers onto the broader ‘research’
- In clinical research, there is an underrepresentation of ETHNIC minorities
- Study results aren’t generalizable - know LESS about risk factors, prevalence + treatment response
T/F : a person in a minority language group is more likely to be hesitant/not compliant to medications and treatments
True, because they typically get no professional interpretation
Provide 2-3 benefits for patients and staff with PROFESSIONAL INTERPRETATION
Staff
1. Can be more efficient in their care time
2. Can better learn/understand how to provide ongoing treatment for their patients
Patients
1. Won’t have as many ED visits and LOS
2. Will be tested more effectively
What are the two approaches in language diversity in healthcare that IMPROVE ACCESS to care
- Increasing the # of language-congruent encounters
- Provide professional interpretation services
What is the MAIN difference between interpretation and translation (think DeepL)
Interpretation refers to the re-expressing of a SPOKEN/SIGNED language into another language (same meaning)
Translation refers to the conversion of a WRITTEN text in a language to another language
Consecutive interpretation
Source language is produced –> pause –> interpretation of the language –> source language continues
Provide 3 examples of typical Ad Hocs
- Bilingual staff
- Family
- Friend
T/F : Sign language interpreter and Deaf interpreter are synonyms of the same thing
False, a Deaf interpreter is someone who is Deaf and communicates for others, whilst the other can be hearing
What’s the difference between a language and cultural broker?
Culture broker : person knowledgeable about the culture/and or speech community - passes important info between client and clinician
Lang broker : person knowledgeable about a speech community/communication environment - gives info about lang and sociolinguistic norms
Interpreters have knowledge about all of the following except :
1. Knowledge of a patient’s info
2. Different dialects and idioms
3. anatomy/physiology and medical terms
4. The ability to stop signing if they don’t feel comfortable
1 and 4
When do you use an interpreter?
- HOC and patient have language barrier
- Patient had Limited English Proficiency
What are the modalities using for interpreting language ? (3) (How do patients comm with their HOC)
- Phone
- Video call
- In person
What are 4 big problems with making fam members as Ad Hoc interpreters
- Lack of proven language proficiency
- Cannot remain unbiased
- Might include minors
- Cultural norms may LIMIT disclosure of certain topics (fam info, discomfort)
3 big issues with ‘professional interpreting’ apps
- Grabs at big concepts - not word for word
- can put organizations at risk legally
- Can’t be validated + inaccurate at times
What is the problem with standardized assessments when preparing for consults
Dated vocab, lack of translation, norms aren’t representative
T/F : SLPs are responsible for the CORRECT diagnosis of disorders but not the treatment of them
False, that is their job
Why is important to meet the interpreter BEFORE the SLP session? (4 main ones)
To build rapport + get background info + discuss goals + cultural/ling considerations to know
A speaker/listener should never look at the _____ when conversing with a deaf/linguistically different patient
interpreter
With an interpreter, it is important to speak in _____, _____ sentences with pauses
short; concise
