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Oxycodone Scenario: Neville Pharmacy serves patients with very diverse cultural and identity characteristics, including patients with limited English proficiency (LEP).  Pharmacist Hermione Granger has only counseled patients who understand and speak English fluently.  A patient, Meena Desai, is picking up a new prescription for Oxycodone Extended-Release (ER) 20 mg.  She is not proficient in English and is more comfortable talking in Hindi.  This will be Hermione’s first time using the service of an interpreter to facilitate her consultation with an LEP patient. Please read the transcript of Pharmacist Hermione Granger counseling Patient Meena Desai with the help of an interpreter on her new prescription for Oxycodone ER 20 mg.  Lines of the transcript of their encounter are numbered for your review.  As Neville Pharmacy manager you decide to give Hermione some more feedback about her skills in communicating with an LEP patient through an interpreter.  Drawing on communication strategies for counseling an LEP patient and using interpreter services covered in 652 lectures, readings, and labs, identify SEVEN pointers to help Hermione communicate effectively with an LEP patient through an interpreter.  For each pointer, (1) give the line number(s) that you would revise or add (insert) your words into the consultation; (2) explain why this should be improved when dealing with LEP patients and using interpreter services; and (3) write what you would say/do instead (Please write your actual words said).  Only pointers corresponding to information after line 7 and before line 57 will be accepted and graded. All pointers must be different from each other.  Also, each pointer must be related to a concept or process relevant to LEP patients and interpreter services as covered in 652.   (3×7=21 points)

You serve several Muslims with chronic illnesses such as diabetes who are deeply committed to fasting during Ramadan. Based on your 652 experience, please consider how you would establish rapport and gather information with a new Muslim patient with diabetes.  (5 points) What question might you ask them to identify supportively whether they are planning to fast for Ramadan? After identifying that they plan to fast, you want to wish them a Happy Ramadan. What would you say and why? The patient tells you that they would appreciate if you could help them create a plan to fast safely. What are 3 questions you would ask to help them create a safe plan for fasting.

Thinking about the process and outcome of Hermione’s MI consult with Luna, you decide that she needs a model to help her organize her thoughts better. You explain that MI works, but she needs to go through a more careful communication process. The READS model comes to mind.  You reach into a secret drawer and dust off your MI lecture from 652. You ask her to apply the 5 steps with her next patient. To help her improve her MI skills, please: A) Write the title each letter stands for in the READS model,  B) Give an example of what you would say and do or not do with a patient to operationalize what this letter stands for. (2×5=10 points)

A. Answer the following in the text box: ________________________________________Line number(s) to be revised or added:Why it should be improved:Suggested new wording/action:

A patient, Tom Riddle comes into Neville Pharmacy, very angry about receiving the wrong dose of a medication.  He is angry, throws his pills on the counter and yells, “You’ve really screwed up royally!  I’ve been with you for years, but you don’t deserve my business.  From now on, I’m going somewhere else.”  Below are examples of what a pharmacist could say when responding to the patient’s outburst above.  Match each pharmacist reply with a corresponding assertive communication strategy. 

What topic(s) in the cirriculum do you feel you grasped better than others?

Reflect on what helped you grasp some better than others:  what tools, assignments, and study habits contributed?

Time management is key to success.  Reflect on your own time management.  Did you tend to put off assignments and then have to turn in numerous late assignments in one day?  Did you put off quizzes or exams and end up cramming at the last minute? How can you improve time management in the future?

Google reportedly fired a male engineer who, in a memo, argued women are not biologically fit for tech roles. This is a first amendment issue; meaning Google cannot fire the male engineer based on the first amendment. 

Reflect on your overall learning  How has your understanding of networking evolved throughout this course? Think back to the first few weeks—what concepts felt confusing then that now feel manageable? What moments or projects helped you build confidence?