A female patient who speaks a little English has emergency gallbladder surgery, during discharge preparation, which nursing action would best help this patient understand wound care instruction?
A. Asking frequently if the patient understands the instruction.
B. Asking an interpreter to replay the instructions to the patient.
C. Writing out the instructions and having a family member read them to the patient.
D. Demonstrating the procedure and having the patient return the demonstration.
Correct Answer: D. Demonstrating the procedure and having the patient return the demonstration
Demonstrating by the nurse with a return demonstration by the patient ensures that the patient can perform wound care correctly. One of the leading causes of medical errors in the United States is miscommunication between patients and providers. When patients with limited English proficiency (LEP) cannot adequately communicate their needs, they are less likely to comply with medical instructions and receive vital services.
Option A: Patients may claim to understand discharge instruction when they do not. In-person translation services are preferred when complex medical information or end-of-life decisions are to be discussed. Studies show in-person professional interpretation increases patient satisfaction and outcomes of care. Interpreters use visual cues to enhance communication. However, in-person interpreters can be costly and can limit the number of languages that can be adequately staffed.
Option B: An interpreter of family members may communicate verbal or written instructions inaccurately. In some cases, patients prefer to use their family and friends as medical interpreters, but experts recommend against the practice because vital information may be lost.
Option C: Internet-based apps for smartphones and tablets help medical professionals interpret information quickly so they can be used in emergency settings. Experts warn, however, that the one-sided nature of such applications can lead to missed or misconstrued information.