Abstract:
:Barriers to clear communication, such as culture, language, and other aspects of self-presentation may have an important impact on the doctor-patient relationship. When not addressed, cultural and linguistic issues can result in unreliable clinical histories, noncompliance with medical treatment, misinterpretation of data, poor continuity of care, less preventive screening, miscommunication, and inadequate analgesia. Lack of access to competent interpreters and failure to take a full history may result in inaccurate assessment of presenting complaints leading to a delay in initiating necessary treatment. In addition, the presence of psychiatric symptoms can interfere with the medical diagnostic process, leading sometimes to premature closure of the differential diagnosis and attributing all presenting complaints to psychiatric illness. When both language barriers and psychotic symptoms present together, the risk of inaccurate diagnosis is multiplied. We report two Spanish-speaking patients with primary central nervous system tumors who had delayed diagnosis and treatment due to triage personnel focusing on presenting psychiatric complaints without attention to co-morbid medical symptoms. In each case, the patients initially presented to non-Spanish-speaking medical providers who did not have access to trained interpreter services. Physician attention to primary psychiatric symptoms led to referral for psychiatric care, delaying treatment for obvious neuro-endocrinologic problems.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Rueda-Lara MA,Buchert S,Skotzko C,Clemow LPdoi
10.1016/s0163-8343(03)00065-3subject
Has Abstractpub_date
2003-09-01 00:00:00pages
367-71issue
5eissn
0163-8343issn
1873-7714pii
S0163834303000653journal_volume
25pub_type
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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journal_title:General hospital psychiatry
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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