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Lip-reading and the ventilated patient
Ellen C Meltzer1, James J Gallagher, Alexandra Suppes
1Division of Medical Ethics, Weill Cornell Medical College of Cornell University, New York-Presbyterian Weill Cornell Medical Center, New York, NY, USA. elc9076@med.cornell.edu
Objective:
To present a clinical ethics case report that illustrates the benefits of using lip-reading interpreters for ventilated patients who are capable of mouthing words.
Design:
Case report.
Setting:
The burn unit of a university teaching hospital in New York City.
Patient:
A 75-yr-old man was admitted to the burn unit with 50% total body surface area burns. He was awake, alert, ventilator-dependent via a tracheostomy, and able to mouth words.
Interventions:
A deaf lip-reading interpreter and a hearing American sign language interpreter worked together in a circuit formation to provide verbal voice for the patient.
Conclusion:
For the ventilated patient who can mouth words, lip-reading interpretation offers an opportunity for communication. It is time we routinely provide lip-reading interpreters as well as recognize the need for prospective studies examining the role of lip-reading in medical settings.
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