Translating Health

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Translating Health. Enhanced English for Interpreters Fujian Normal University. Tongue Twister Review. Betty Botter bought a bit of bitter butter Which made her batter bitter But a bit of better butter Makes better batter So Betty Botter bought a bit of better butter - PowerPoint PPT Presentation

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  • Translating HealthEnhanced English for InterpretersFujian Normal UniversityFNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Tongue Twister Review

    Betty Botter bought a bit of bitter butterWhich made her batter bitterBut a bit of better butter Makes better batterSo Betty Botter bought a bit of better butterMaking her bitter batter better.FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Why Medical Translators?Case Study: LoganLocation: Fuzhou, FujianPurpose of visit: abnormal chest X-ray follow up on routine examination for student visaBackground: foreign student from America, studying Chinese at a university in China.

    Medical Tasks1st visit: investigate abnormal chest X-ray findings to rule out tuberculosis by bronchoscopy (). Fluid is taken from the air ways to test for tuberculosis (TB). 2nd visit: positive test on bronchoscopy requires start of drug cocktail. TB is not active (latent ). Foreign Affairs health certificate will not be issued until TB test is negative.3rd visit: Change drug cocktail due to abnormal liver tests

  • The Leader(the Doctor)Handling Problems

  • Medical Ethics and ValuesBeneficence

    a practitioner should act in the best interest of the patient.Autonomy

    the patient has the right to refuse or choose their treatment.FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • DiscussionIdentify the cultural barriers that prevent Logan from receiving effective healthcare in China.

    Interpret to the American student, potential reasons the doctors would say the tuberculosis is active when the positive bronchoscopy test report say that the disease is non-communicable

    FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Homework ReviewRead the article A Year in Community Health Work regarding the Taiyuan Community Health Center in Shanxi province.

    Considerations:Briefly summarize the barriers the team faced delivering health care to the community. How did they overcome the barriers?FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • FNU Language Enhancement 2012-2013ContactsWay of Life

    FNU Language Enhancement 2012-2013

  • FNU Language Enhancement 2012-2013Luxi Community Center,Evergreen Family Friendship ServicesShanxi, China

    FNU Language Enhancement 2012-2013

  • Medical Ethics: 2 CasesProtective truthfulness: the Chinese way of safeguarding patients in informed treatment decisionMei-che Samantha Pang The Hong Kong Polytechnic University, Hong Kong, ChinaJournal of Medical Ethics 1999; 24:247-253Cross-cultural Medicine. Ethical Dilemmas in a Cross cultural Context. A Chinese ExampleJessica H. Muller and Brian Desmond San Francisco Hospital Medical CentreWest Journal of Medicine 1992; 157: 323-327

    FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Medical Ethics and ValuesBeneficence

    a practitioner should act in the best interest of the patient.Autonomy

    the patient has the right to refuse or choose their treatment.FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Case 1: Hong KongMrs Chan, aged 29carcinoma of the lung, poor prognosis.husband and sister did not want her to know about her critical condition. Staff told not to tell patient and request is upheld.Patient is noted by nurse to be perceptive, optimistic and curious. Nurse avoids talking to patient or responding to her directly but feels patient should have psychological support.The patient eventually died, still ignorant of her disease. Case 2: USAMrs Lee, aged 49, recent immigrant from China to USATerminal lung cancer with metastases to brain and spineSon is key translator. Will not allow physicians to inform patient of condition.Physicians try to discuss a do-not-resuscitate (DNR) order with patient without success Patient condition worsens, son begs doctors for intubation. Doctors consult intensive care specialists which agree no grounds for ICU admissionSon threatens litigation due to perceived racismPatient suffers a code blue during a family meeting and dies

  • Medical Terminology NotesCarcinoma- cancer, usually a solid tumor(s) (not blood)Lung carcinoma, renal carcinoma, hepatic carcinoma

    Metastases or mets- cancer spread to other body partsBreast carcinoma with lung metastases/mets

    do-not-resuscitate (DNR) an order in a hospital setting to not revive someone who is dying. Does not include treatments to provide comfort.The patients cancer has a 3 month prognosis so we need to discuss a DNR order with the patient and the patients husband.

    Intubation- placing a tube in the throat to breathHe was declared brain dead even though he was intubated. The question now is whether to remove the vent.

    FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • No grounds- no basis, no justification, no good reasonThey fired him even though there was no grounds for his dismissal.

    Litigation- lawsuitThey threatened with litigation when the doctors did not listen to the familys wishes.

    Code blue a code for medical staff indicating someone requires emergency help; often cardiac or respiratory arrest.Theres a code blue in the cafeteria! Quick! Call switchboard!

    Call a family meeting- a meeting which medical staff, a patients family +/-patient discuss and make medical decisions about a patients care. Common cultural practice in Western hospitals when there are communication problems.FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Culture and EthicsWhich medical ethical value does Chinese culture esteem more? Why?

    Which medical ethical value does Western culture esteem more? Why?FNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • Ping Pong Debate

    All terminally ill patients should know their diagnosis and prognosisFNU Language Enhancement 2012-2013

    FNU Language Enhancement 2012-2013

  • HomeworkAnswer ONE question assigned to you. Prepare a clear, informative instruction addressing the question which may help a foreigner navigating the healthcare system in Fuzhou.

    Describe the process of drawing blood samples in China. Where do you go? How and where do you pay?What routine immunizations are given in China? Where can you get the injection? What information is given about the injections?How are medications prescribed and dispensed in China?If you are ill, how do you make an appointment to see a doctor?Who takes care of food, clothing for the patient at the hospital?How much money should you bring money to visit to the doctor? The hospital? How and who do you pay? Describe an appointment with the doctor. What kind of tests might they run? What type of questions might be asked?

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