Checklists for cultural assessment and cultural formulation of the patient's problem are given in the companion booklet, Checklists for Cultural Assessment . On the other hand, poor English skills are not a reflection of a hearing disorder or level of intelligence, and you will not be better understood if you raise your voice. Do not make assumptions about patient levels of understanding Making assumptions about poor levels of comprehension and skill can result in a patient feeling patronised if they have some knowledge of English, medical terminology or hospital practice. On the other hand, lack of comprehension will affect a patient's commitment to adhering to a treatment plan, or his or her competency to carry out the treatment. Discussing the illness and treatment allows you to explore the patient's own beliefs and understandings, and will help you assess his or her comprehension and understanding of the advice or procedure.
People have different reactions towards illness, life and death.
These are built up over a lifetime, and cannot be dismissed without creating a barrier in the communication process. It can help if you ask the patient to provide you with information about their own ideas. Take the time to explore any issues Miscommunication or conflict can be resolved with patience, respect and extra time. Cultural or linguistic issues may affect acceptance of treatment or adherence to regimes. Other members of the family may be involved in decision making as well as or instead of the patient, and this may influence patient behaviour.