Example case 15 of 40
Assess her in her language
Support communication from the start
Mrs Ahmed, 76, speaks Urdu. Today she is unusually withdrawn.
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Page 1
Panel 1
Mrs Ahmed, 76, speaks Urdu. Today she is unusually withdrawn.
Daughter: She was chatting normally yesterday. This is a change.
Panel 2
Urgent physical checks begin. A professional interpreter joins.
Doctor Evans: Please interpret my questions directly for Mrs Ahmed.
Panel 3
Even with language support, she cannot follow the conversation.
Mrs Ahmed: My daughter… where are we?
Panel 4
History and examination support delirium. Assessment of causes continues.
Doctor Evans: Keep the interpreter involved as we explain her care.
Commentary
Support communication in the person’s preferred language while assessing acute change. A language barrier must not be mistaken for cognitive impairment or used to dismiss a new change.
An anonymised composite case that does not describe one identifiable person and is not research evidence.