An interpreter of the same gender of the client, who is not a relative or friend and has training in translating medical information will help communication. When using an interpreter, patience is required because more time is needed. It is helpful to talk with the interpreter before the session to explain the purpose of the conversation. Use short units of speech because the interpreter will not be able to remember several sentences spoken at one time. The health care provider should remember to look at and speak to the client, not the interpreter.
Nonverbal communication is important, however, give consideration to cultural differences.
For example, touch, a form of communication frequently used by nurses, has many cultural meanings. People from Latin America are highly touch-oriented, while Germans and the English may consider touching taboo. Nurses should remember that a hot or cold attribute is not related to actual temperature, but the characteristics of the substance in question. Foods and medicines may be either hot or cold. Many times compliance to the medical regimen is affected by this belief.