worh effectively with culturally diverse & co-workers


The following situation is a scenario between a client who speaks little English & the medical team.required to read the following situation to analyse & critique the scenario.you need to look at the scenario from the perspeactive of the client & her family.some of the questions you may want to addrss are:(a)Is it appropriate to talk to the client without her husband or interpreter?(b)is it appropriate to get the client to sign a consent form without her husband or interpreter present?(c)is client confidentiality being maintained by pulling the curtains around the bed?(d)how would you expect the family to react to the situation?(e)what are the legal imprecations of asking the client to sign a form which she may not understand?(f)has cultural empathy been demonstrated in this situation?(g)how could this situation have been improved? Please, attach the above mensioned areas! Take into consideration that the conversation is to take place within an acute hospital seting,which may provide further constraints to an ideal text book environment
Jacinta Romirez is 72y spanish woman speaking very little English & very dependent on her husband of 49y.She had been feeling lethargic & generally unwell & was admitted to hospital for investigations.
Dr Wills has diagnosed a renal mass that needs to be removed from her right kiddney.Dr is in hurry as he has a larg doctors round to attand to with alot more patients than usal to visit. On Doctors round, along with his RN medical Officer,2 interns & a medical student Dr wills decides to break the news to mrs Romirez. Dr Wills pulls the curtain around the bed so the remainder of the patients are out of view of mrs Romirez.all of the doctors, whom are unfamiliar with mrs romirez decide to stay in & listen to the conversation.Mr Romirez is notprsent with his wife at the time.
Dr wills:”Mrs Romirez, after the current investigations, including the ultrasound & MRI you had yesteday, we have located a right renal mass. We believe it is confined to one area but we are not exactly sure.we think it be removed as soon as possible.It is a fairly simple procedure;we think we can remove the kidney via a small abdominal incision & X3 laparoscopic stab sites.Do you have any question?”Mrs Romirez:”NO”
Dr Wills:”We can schedule the surgery for tomorrow’s morning list.the nurses will prepare you fro threatre,fast from 2400hrs.you will go to HDU post op with a catheter inserted & probably back on this ward the day after that & home within 5-7 days. Now I need you to sign a consent form for the surgery, & Dr James will be around later in the day to get anaesthetic consent. Any questions?”
Mrs Romirez: “I don’t know…..”
Dr wills: Pause….”fine I’ll see you tomorrow then.”
*NB: Harvard style,12-14font size,reference 2 text books &2 online,12-14 font size,no first expression just patient & nurse.
(please,paper is needed by Saturday,20/3/10)


In delivery of health care, communication between the patient and caregiver is of vital importance.  It is the duty of the caregiver to ensure that the patient understands how the treatment process will go through. As has been pointed out in several research studies, miscommunication between the caregiver and the patient can be a hindrance in delivery of healthcare. As can be found in the case study, Dr. Wills assumed to have communicated with the patient but the patient did not understand since she did not understand English language. At the end, Jacinta may not have understood the medical process recommended by doctor while Dr. Willis assumed that he had communicated and the patient understood.