Diagnostic Challenges in Fava Bean Triggered G6PD Crisis A Case study and Narrative Review of Literature of Limited English Proficiency in the Inpatient Setting
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Abstract
Limited English proficiency (LEP) affects many Canadians. Patients with LEP are at high risk of medical error, readmission, and increased length of stay. We report on the case of a 66-year-old male with LEP and a diagnosis of glucose-6-phosphate dehydrogenase (G6PD) deficiency associated hemolysis, and how the language barrier affected his care. Using our case as an example, we describe trends in the LEP literature in the inpatient setting, its effects on patient care and the evidence surrounding the use of point of care interpretation.
Résumé
La maîtrise limitée de l’anglais (MLA) touche de nombreux Canadiens. Les patients ayant une MLA courent un risque élevé d’erreur médicale, de réadmission et de prolongation du séjour à l’hôpital. Nous faisons état du cas d’un homme de 66 ans ayant une MLA qui a reçu un diagnostic d’hémolyse associée à un déficit en glucose-6-phosphate déshydrogénase (G-6-PD) et de la façon dont la barrière linguistique nuit à ses soins. En utilisant notre cas comme exemple, nous décrivons les tendances de la documentation sur la MLA en milieu hospitalier, les effets de la MLA sur les soins aux patients et les données probantes concernant l’utilisation de l’interprétation au point de service.
References
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Avinash Pandey, University of Ottawa, Department of Medicine, Ottawa, ON
University of Ottawa, Department of Medicine, Ottawa, ON
Zainab Al Maqrashi, McMaster University, Hamilton, ON
Department of Medicine, McMaster University, Hamilton, ON
Mary Sedarous, McMaster University, Hamilton, ON
Department of Medicine, McMaster University, Hamilton, ON
Ahraaz Wyne, Hamilton Health Sciences, Hamilton, ON
Hamilton Health Sciences, Hamilton, ON