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Case Study: John arrived at a local hospital with her father-in-law Nigel, to seek treatment for him. Nigel was visiting John and her husband from his home country. While Nigel has been at their home, John and her husband have noticed that he has not been feeling well and after conversations with him he stated he has not felt well for quite some time but did not want to worry them. His condition worsened today, and John decided that she would take him to the emergency room. When they were taken to a patient room, John asked for an interpreter as Nigel is a non English speaker and John has limited fluency in the language he speaks. The physician came into the room to examine Nigel. After the examination he ordered several tests based on Negel's symptoms and left the room. After the tests were completed, Nigel and John were left in the room for several hours. The interpreter was no longer with them and they did not have the physician or any other hospital staff come to check on them. John was afraid to leave the room in the event that the physician would return while she was away. At some point a nurse returned to the room and began discussing the need to set up an appointment with an oncologist and provided information on the side effects of chemotherapy, after which she promptly left the room before John could ask any questions. Nigel was confused about what was said as there was n o interpreter in the room. John was in shock realizing that her father in law had cancer and that she was now tasked with telling him using her limited vocabulary in his language. She proceeded to tell him that he had cancer.
Question: What are the many mistakes that were made regarding the care of the patient.What policy, guideline, practice change, educational program or other changes would you implement to fix the problems that you identified in question #1? What are the three changes you would make.
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