Lecture 5: Pts w/ Communication Challenges Flashcards

1
Q

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

A
  • Ask for exact translation
  • Place interpreter out of the sight-line
  • Check for comprehension by asking pt to summarize!
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2
Q

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

A
  • 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
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3
Q

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

A
  • NO! This is not enough.
  • You need the pt to summarize what they understand to the interpreter before proceeding
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4
Q

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

A

Body language of patient

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5
Q

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

A
  • Avoid sudden movement
  • Don’t lie! i.e., “will it hurt?” “yes, but only for a second.”
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6
Q

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

A

Use the vocabulary they use!

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7
Q

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

A
  • 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.
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8
Q

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

A

4th-5th grade level

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9
Q

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

A

Color code them

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10
Q

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

A
  • Touching (especially elderly; only if appropriate)
  • Well-timed smile
  • Friendly gesture
  • Accepting demeanor
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11
Q

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

A
  • NO
  • ASL is its own language, with different vocab and grammar than English
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12
Q

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

Knowing this how should a doc communicate with them?

A
  • 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”
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13
Q

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

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