The use of the husband as a translator has its limitations, for example, the midwife is unable to verify that the information that passes through the translator, meaning it is possible for the husband to withhold or falsify information to either party. In such instances this may be seen as a contributing factor to domestic abuse, as this can either purposely, or inadvertently, affect the health of mother or fetus. Thirty-four, non-English speaking women, died between the antenatal and post-partum period, between 2003 and 2005 (Lewis, 2007). It should be highlighted that not speaking English has only an associated risk of maternal death, rather than causal. This statistic is influenced by many obstetric factors, as well as homicides, thus this …show more content…
LanguageLine Solutions (2016), is a translating service which connects a professional translator to both the client and the midwife via a telephone, utilised in the Local Trust. This service is available within both the hospital, and the community, setting. Research shows that the dependence on telephone translating services is unlikely to assist in the disclosure of domestic abuse (Knight et al., 2015), possibly relating to the atmosphere within the appointment. The use of the telephone to communicate may increase the barrier between the client and care provider, thus diminishing the advancement of rapport. A qualitative study (Bacchus et al., 2002), shows that an empathetic and non-judgemental environment increases the security the woman feels, resulting in an increased likelihood of discloser. This supports the idea that using telephone translating services limits the prospect of disclosure (Knight et al., 2015). Since reliance on the telephone can remove the emotive stance of the midwife, the client may feel the midwife is neglecting to show
The Spirit Catches You and You Fall Down has challenged me to start thinking about different ways to approach cultural barriers. Using the Lee family and Lia as an example, the book identifies the challenges that the family faced over the years and the challenges that the providers experienced as well. As a result, the book highlights the need for cross-cultural communication in medicine, in an attempt to eliminate the barriers faced by both parties.
As the demand of health-care interpreting is growing, health institutions need more professional medical interpreters. As an interpreter, however, many untrained bilingual people interpret between the patients and the medical practitioners in medical setting in Korea. When the interpreters who are related to the patient interpret for the patient and the medical practitioners, impartiality sometimes is challenged because it is difficult to adhere to neutrality when their relatives or friends are involved. This paper is aiming to figure out the principle of impartiality which seems to be most challenged and consequences of using relatives and friends as the interpreter drawn from my own interpreting experience in medical settings.
A health care directive is a legal document, based on personal values and beliefs, providing people with a sense of control and independence for their medical care. The purpose of a health care directive is to allow personal wishes on various treatments options to be met, when the individual is presented incapable. Since it is a legal document, health care professionals and family members have to abide with individual’s health care directive. Personally I value autonomy, independence, family, dignity, and selflessness. These core personal values allow me to reflect, fully comprehend and accept the consequences to the health care decisions I make for myself. In conclusion, the sections of the health care directive
Nurses today need to have excellent communication skills. Receiving information from patients is the most important aspect of nursing. If nurses are unable to communicate with their patient then they would not be able to have a relationship with them. Communication is where two or more people interact with each other, by using sounds and words, this is verbal communication. Some individuals have different behaviors where they try to express themselves to others without using spoken words, this is non verbal communication. Once nurses have the proper communication tools, techniques and evidence based practice, when communicating with their patient, they would get the necessary information needed from the patient to properly diagnosis them.
Arrangements need to be made so that they understand what is happening clearly, whether getting in a translator or just taking slightly more time so that there is a clear flow of communication happening. This will improve the quality of care that they are receiving. A study conducted by Hemsley, Balandin and Worrall (2012) has shown that time is an important factor in communication and where there are barriers nurses may avoid opening the communication channel directly with their patient rather than focussing on the patient’s carer or family to relay the message. This is a less effective way of communicating with a patient, as it does not create an environment where a patient will feel able to communicate freely to discuss any problems they may be having. Anthony & Vidal (2010) point out that the use of correct information is vital, as registered nurses rely on information to conduct quality and safe care. There may be issues with that information if it is not communicated correctly which can lead to common nursing
Access to health care refers to the ease with which an individual can obtain needed medical services. Many Americans face barriers that make it difficult to obtain basic health care services. These barriers to services include lack of availability, high cost, and lack of insurance coverage. "Limited access to health care impacts people's ability to reach their full potential, negatively affecting their quality of life." (Access to Health Services, 2014) Access to health services encompasses four components that include coverage, services, timeliness, and workforce
Language barriers are a problem that physical therapist are faced with across the nation. In American, over two-fifths of the Spanish-speaking Hispanics report that they experience difficulty understanding their medical provider because of a language barrier. In many cases the weight of this problem that physical therapists are faced with is handed over to the patients. Only half of the patients that report a difficulty understanding and needing an interpreter present are regularly provided one (Uninsured). One study found that only one percent of Hispanics received help from a trained medical interpreter. Most patients relied on the help of family and friends (Bustos). Family members and friends that are used as translators often have a limited under...
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
Although health care questionnaires come in different languages, it can still be misinterpreted by the patient or their family. Without a way to communicate, the doctor can’t effectively treat the patient. One good example of this is the case from the book “The Spirit Catches you and you fall down”. In the book a Hmong family of refugees comes to the US and one of their daughters has epilepsy. They take her to the emergency room but are unable to communicate with the staff because they don’t understand or read English. When the doctors prescribe the little girl medication, the mother doesn’t understand how to administer it properly according to Western standards, so the child is taken by Child Protective Services. The family is given multiple chances, even being given a translator/counselor to make sure the child is getting the correct dosage. If there had been better communication, maybe the doctors could have adapted the treatment to the Hmong culture a little more so the mother could have had a chance to administer the medication correctly. In the article “Language: A Crucial Part of Cultural Competency” Jim McCaffree interviewed Laura McNally. Laura McNally works in the health care field so she knows firsthand the barriers of culture and language. McCaffree cites that “McNally says, though, “I’ve worked through interpreters, and it’s very difficult to work through an interpreter because it’s based on the interpreter’s understanding of what you’re telling them.” She adds that “in order for us to provide the care we need to provide, whether it’s in the hospital, in a community-based clinic, or out in the community, we have to be able to speak some of those languages.” (McCaffree
Health Care is an essential thing every person needs or has in day-to-day life not all can afford to have Health Care in the United States. Why? Well, some people have stated that it has to do mainly with race, but I disagree. The provisions of the federal and state governments to institute planned health care, coupled with our diverse cultures debunks that reasonsing. This paper will address why race is not the key fundamental to having acceptable health care benefit for all.
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health literacy plays an important role in individuals’ decision-making. The scope of health literacy does not limit to traditional medical perspective. In fact, it has extended from the basic understanding of diseases and medications to all aspects that affect health. As one of the key social determinants, health literacy has huge impact on health and well-being. Its influence is associated with disease prevention, healthy lifestyle promotion, policy making, etc. This essay will first discuss the concept of health literacy and the consequences that link to it, and then give a strategy—designing user-centred messages in education, to improve health literacy,
In the operation of the healthcare system, gender plays a central role. Gender discrimination in the healthcare exists either in the field of education, workplace or while attending to the patients. Interestingly, as opposed to other areas where discrimination lies heavily to a particular gender; gender inequality in health happens to both women and men. Gender inequality in the health care service negatively affects the quality of care given and perpetuates patient biases to a gender. Also, the gender disparities in the field of health assists researchers and practitioners to study conditions and their probable manifestations within both sexes.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.
The real problem with the health care system in this country is not just the people running it but mainly the massive pit of debt it is continually digging. America spends around 17%, which is about $2.5 trillion of our GDP on health care alone! It is safe to say we spend nearly more than any other country out there. Where is all of this money going though, are they just giving it away to those in need of free medicine or people who cant pay there doctors bills? Most of the money spent is on regulations, research on medicines and failures of medicines that may have not made the “cut” to be on the market.