What is essential when obtaining informed consent from patients with limited English proficiency?

• A. Rely on family member for translation
• B. Provide documents in English only
• C. Use a qualified interpreter and teach-back to assess comprehension
• D. Do not assess comprehension

Answer: (C)

The essential approach is language-accessful communication that verifies understanding. Use a qualified interpreter who is trained in medical terminology and confidentiality, and provide materials in the patient’s preferred language. Then apply the teach-back method: after explaining the procedure, have the patient restate in their own words what will happen, the risks and benefits, and the alternatives. This confirms accurate understanding and ensures the consent is truly informed and voluntary.

Relying on a family member to translate can introduce errors and privacy concerns, and giving documents only in English excludes the patient from understanding and making an informed decision. Not assessing comprehension leaves room for consent that isn’t genuinely informed.