Working with diversity - Culture + Linguistics

Question 1

What are the 3 most common mother tongue languages other than Eng/Fren in Brit Columbia according to 2016 stats?

Answer 1

1. Punjabi
2. Cantonese
3. Mandarin

Question 2

T/F : culture and language are not INTRINSICALLY intertwined

Answer 2

False

Question 3

Health literacy

Answer 3

Degree to which individuals have the capacity to OBTAIN, PROCESS, and UNDERSTAND basic health info and services needed to make appropriate decisions

Question 4

What did the Eldridge vs BC case in 1997 determine? Why was this so important

Answer 4

Hospitals were required to provide interpreters for DEAF patients

Effective communication is integral to healthcare provision

Question 5

The onus is on the ___________ ______ providers to make sure that the ______ understands treatment BEFORE providing consent

Answer 5

health care; patient

Question 6

T/F : there are NO consequences of language barriers/differences in healthcare

Answer 6

FALSE

Question 7

Who are the people who need to have more frequent ED visits and have longer visits (so not getting professional interpretation) are ____ _____ people

Answer 7

language barrier (people)

Question 8

T/F : People with an appropriate diagnostic testing are more likely to be those without a language barrier

Answer 8

True

Question 9

Provide the 2 indirect effects of language barriers onto the broader ‘research’

Answer 9

1. In clinical research, there is an underrepresentation of ETHNIC minorities
2. Study results aren’t generalizable - know LESS about risk factors, prevalence + treatment response

Question 10

T/F : a person in a minority language group is more likely to be hesitant/not compliant to medications and treatments

Answer 10

True, because they typically get no professional interpretation

Question 11

Provide 2-3 benefits for patients and staff with PROFESSIONAL INTERPRETATION

Answer 11

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

Question 12

What are the two approaches in language diversity in healthcare that IMPROVE ACCESS to care

Answer 12

1. Increasing the # of language-congruent encounters
2. Provide professional interpretation services

Question 13

What is the MAIN difference between interpretation and translation (think DeepL)

Answer 13

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

Question 14

Consecutive interpretation

Answer 14

Source language is produced –> pause –> interpretation of the language –> source language continues

Question 15

Provide 3 examples of typical Ad Hocs

Answer 15

1. Bilingual staff
2. Family
3. Friend

Question 16

T/F : Sign language interpreter and Deaf interpreter are synonyms of the same thing

Answer 16

False, a Deaf interpreter is someone who is Deaf and communicates for others, whilst the other can be hearing

Question 17

What’s the difference between a language and cultural broker?

Answer 17

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

Question 18

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

Answer 18

1 and 4

Question 19

When do you use an interpreter?

Answer 19

1. HOC and patient have language barrier
2. Patient had Limited English Proficiency

Question 20

What are the modalities using for interpreting language ? (3) (How do patients comm with their HOC)

Answer 20

1. Phone
2. Video call
3. In person

Question 21

What are 4 big problems with making fam members as Ad Hoc interpreters

Answer 21

1. Lack of proven language proficiency
2. Cannot remain unbiased
3. Might include minors
4. Cultural norms may LIMIT disclosure of certain topics (fam info, discomfort)

Question 22

3 big issues with ‘professional interpreting’ apps

Answer 22

1. Grabs at big concepts - not word for word
2. can put organizations at risk legally
3. Can’t be validated + inaccurate at times

Question 23

What is the problem with standardized assessments when preparing for consults

Answer 23

Dated vocab, lack of translation, norms aren’t representative

Question 24

T/F : SLPs are responsible for the CORRECT diagnosis of disorders but not the treatment of them

Answer 24

False, that is their job

Question 25

Why is important to meet the interpreter BEFORE the SLP session? (4 main ones)

Answer 25

To build rapport + get background info + discuss goals + cultural/ling considerations to know

Question 26

A speaker/listener should never look at the _____ when conversing with a deaf/linguistically different patient

Answer 26

interpreter

Question 27

With an interpreter, it is important to speak in _____, _____ sentences with pauses

Answer 27

short; concise