reflect back on this whole scenario, it presents several challenging but
familiar issues. I realized primary issue that presented itself in this case is
communication. I believe that the relationship between healthcare workers and
patient is characterized by the keyword “Trust”, which lacked in this case.
This case also included a very frank and open talk of death which is difficult
to be discussed even if no cultural or language barriers were present.
are several things that bothered me. I did not like the way how communication
problem ended up creating trust issues between medical staff and patient. I disliked
the way how chief nurse did not value Mr. tarbezi’s religious beliefs of not
eating pork. Nurse took it very lightly without assuring the patient about free
pork food. the only thing that I liked is doctors straight forward approach of
telling truth without giving any false hopes. But apart from this approach
doctor too failed in communicating and in presenting information to patient.
reflection, there were several questions which raised. I wondered why even
after patient’s stabilization, medical staff did not arrange for interpreter.
Why were they completely dependent on Mr. tarbezis son? I also wondered why did
chief nurse failed in providing assurity to patient about pork free food even
after knowing that patient is hesitant in eating hospital food. I also wondered
why was the son not approached by doctor before revealing the health condition in
front of patient.
What could/should the doctor/hospital have done differently
in order to handle this case in a more helpful and culturally competent manner?
This scenario could have been handled in a completely
different competent manner which could have eliminated all these challenging
issues which raised. Patient here experiences extreme communication gap with
healthcare practitioner. Mr. Tabriz also faces the interference of dietary
issues for medical requirement with his religious beliefs, which lead to
creating trust issues.
Language interpretation is very crucial to
patient wellbeing although they remain quite primitive.
Hospital had three days to gather complete medical
information of patient, this could have been achieved by phone interpreter services
or by arranging a professional interpreter. This situation of gathering patient
medical history could have become easier if the medical staff took a step to
arrange a fixed set time with Mr. Tarbezis son but instead they dependent on
the availability of son. A professional translator is the best option and most
preferred who is a non-family member in order to reduce the likelihood of not
telling the truth.
Mr. tarbezi hesitance in sharing
information about his and family medical history, could have been because of
his lack of trust in the care givers. This trust started deteriorating when he
was given no assurity about free pork dietary. One must be sensitive to religious
and cultural beliefs. In this case after chief nurse comment ” while religious belief is important….” Showed lack sensitivity
towards religious and cultural values. He consumed less
hospital food fearing for the presence of pork in it. An effort made from
medical team to provide patient with dietary product information, which could
have been easily collected from hospital nutritional services, and ensuring the
patient about pork free food, this little gesture could have helped medical
staff in gaining Mr. tarbezis trust. Medical
staff here should have voiced strong and more active by communicating his needs
with the dietary department. This small effort and gesture is needed for
building a connection trust between caregivers and patient.