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Understanding patient needs without understanding the patient : the need for complementary use of professional interpreters in end-of-life care

Demi Krystallidou, Ignaas Devisch UGent, Dominique Van de Velde UGent and Peter Pype UGent (2017) MEDICINE HEALTH CARE AND PHILOSOPHY. 20(4). p.477-481
abstract
High-quality doctor-patient communication in end-of-life care results in better quality of life for patients. In linguistically and culturally diverse societies, language discordant consultations become daily practice, leading to difficulties in eliciting patient preferences toward end-of-life care. Although family members invariably act as informal interpreters, this may cause some ethical dilemmas. We present a case of a palliative patient whose son acted as an interpreter. This case generated a triple- layered ethical dilemma: (i) how to safeguard patient autonomy against paternalistic interventions by family members, (ii) how to respect the relational context in which patient autonomy can be realized, and (iii) how to respect the ethno-cultural values of the patient and his family. These issues are being discussed and reflected upon within the framework shared decision making involving informal- and professional interpreters. The complementary use of professional interpreters next to family members acting as informal interpreters is recommended.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Patient needs, Interpreters, Communication, Patient autonomy, Agency, Shared decision making, HEALTH-CARE, PALLIATIVE CARE, CANCER-PATIENTS, COMMUNICATION, ASSOCIATIONS, PERCEPTIONS, INFORMATION, ADJUSTMENT, ATTITUDES, PROGNOSIS
journal title
MEDICINE HEALTH CARE AND PHILOSOPHY
Med. Health Care Philos.
volume
20
issue
4
pages
477 - 481
Web of Science type
Article
Web of Science id
000414424500004
ISSN
1386-7423
1572-8633
DOI
10.1007/s11019-017-9769-y
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8519391
handle
http://hdl.handle.net/1854/LU-8519391
date created
2017-05-03 10:44:29
date last changed
2018-03-19 10:28:07
@article{8519391,
  abstract     = {High-quality doctor-patient communication in end-of-life care results in better quality of life for patients. In linguistically and culturally diverse societies, language discordant consultations become daily practice, leading to difficulties in eliciting patient preferences toward end-of-life care. Although family members invariably act as informal interpreters, this may cause some ethical dilemmas. We present a case of a palliative patient whose son acted as an interpreter. This case generated a triple- layered ethical dilemma: (i) how to safeguard patient autonomy against paternalistic interventions by family members, (ii) how to respect the relational context in which patient autonomy can be realized, and (iii) how to respect the ethno-cultural values of the patient and his family. These issues are being discussed and reflected upon within the framework shared decision making involving informal- and professional interpreters. The complementary use of professional interpreters next to family members acting as informal interpreters is recommended.},
  author       = {Krystallidou, Demi and Devisch, Ignaas and Van de Velde, Dominique and Pype, Peter},
  issn         = {1386-7423},
  journal      = {MEDICINE HEALTH CARE AND PHILOSOPHY},
  keyword      = {Patient needs,Interpreters,Communication,Patient autonomy,Agency,Shared decision making,HEALTH-CARE,PALLIATIVE CARE,CANCER-PATIENTS,COMMUNICATION,ASSOCIATIONS,PERCEPTIONS,INFORMATION,ADJUSTMENT,ATTITUDES,PROGNOSIS},
  language     = {eng},
  number       = {4},
  pages        = {477--481},
  title        = {Understanding patient needs without understanding the patient : the need for complementary use of professional interpreters in end-of-life care},
  url          = {http://dx.doi.org/10.1007/s11019-017-9769-y},
  volume       = {20},
  year         = {2017},
}

Chicago
Krystallidou, Demi, Ignaas Devisch, Dominique Van de Velde, and Peter Pype. 2017. “Understanding Patient Needs Without Understanding the Patient : the Need for Complementary Use of Professional Interpreters in End-of-life Care.” Medicine Health Care and Philosophy 20 (4): 477–481.
APA
Krystallidou, Demi, Devisch, I., Van de Velde, D., & Pype, P. (2017). Understanding patient needs without understanding the patient : the need for complementary use of professional interpreters in end-of-life care. MEDICINE HEALTH CARE AND PHILOSOPHY, 20(4), 477–481.
Vancouver
1.
Krystallidou D, Devisch I, Van de Velde D, Pype P. Understanding patient needs without understanding the patient : the need for complementary use of professional interpreters in end-of-life care. MEDICINE HEALTH CARE AND PHILOSOPHY. 2017;20(4):477–81.
MLA
Krystallidou, Demi, Ignaas Devisch, Dominique Van de Velde, et al. “Understanding Patient Needs Without Understanding the Patient : the Need for Complementary Use of Professional Interpreters in End-of-life Care.” MEDICINE HEALTH CARE AND PHILOSOPHY 20.4 (2017): 477–481. Print.