在ICU中共享决策:与说较少扩散语言的患者沟通
Ibrahim Serhat Karakus1, Sumera R Ahmad2, Amelia K Barwise3
1Department of Anesthesiology and Perioperative Medicine, Rochester, MN.
Chest
|February 10, 2025
概括
有效的生命终端沟通需要口译员,特别是对于说较少扩散语言 (LLD) 的患者. 一个案例突出了卡伦语使用者的挑战,强调了需要可访问的口译服务.
科学领域:
- 医学伦理 医学伦理
- 语言学的语言学.
- 患者沟通 患者沟通
背景情况:
- 有效的双向沟通对于终生决策至关重要.
- 对于英语水平有限的患者来说,口译员是必不可少的.
- 讲较少扩散语言 (LLDs) 的患者面临着重大的解释资源挑战.
研究的目的:
- 要突出独特的沟通挑战在终身决策的患者说法LLDs.
- 探索与LLD演讲者解释资源稀缺相关的伦理问题.
- 介绍一个案例研究,涉及一个在ICU的凯伦语患者.
主要方法:
- 病例报告详细介绍了一个关键护理场景,涉及一个讲凯伦语的病人.
- 讨论由于没有可用的凯伦口译员造成的沟通障碍.
- 通过识别远程口译员来解决问题.
主要成果:
- 起初缺乏凯伦口译员使重症监护决策复杂化 (代码状态讨论).
- 一个远程口译员促进了有效的沟通,并证实了家庭的理解.
- 该案例强调了LLD讲师在医疗保健环境中遇到的困难.
结论:
- 在临终关怀期间,文化敏感的沟通和足够的解释资源对LLD人群至关重要.
- 解决LLD的口译员短缺问题是一个道德上的要求.
- 改善LLD演讲者对口译人员的访问,可以确保患者的自主权和知情同意.
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