1. Hearing-Impaired Patient
Remain within the sight of the patient.
Ensure that the hearing aid is in working
order and turned on.
Background noise should
be at minimum.
Even with intermediary, face the patient
and direct all communication to the
Use facial expression and body movements
Give additional time
Use written form for
2. Visually Impaired Patient
Always look directly at the patient.
Cues, voice intonation, volume and
inflection are important.
Advise the patient when entering or
leaving the room.
Orient the patient to the immediate
Use clock hours to indicate position of
3. Speech Impaired- Aphasic
Ask simple questions
Allow additional time for patient
Use written interview format,
letter board, yes/no cards
4. Non- English Speaking Patient
Requires assistance interpreter.
Give direct interview questions to the
patient not to the interpreter.
Pay attention to nonverbal cues.
Signs are important.
5. Patient with low level understanding
Requires time and patience
Interview also the family and care giver
Request permission from patient to speak
to someone else.
Allow patient to ask
Observe the interaction
Gently ask what’s the cause of emotional
Show empathy and allow to cry
Convey message of
Finish the interview
7. Anxious and angry patient
Allow to express emotions
Give permission to bring out their feelings
Convey the patient’s sentiment to their
Recognize and acknowledge
8. Hostile Patient
Do not reciprocate with the anger and
Limit setting and refocusing.
Position yourself near an accessible exit.
Do not turn your back on the patient
Never allow the patient to walk behind
you or come between you and the exit
Watch for signs of increasing tension in the
Leave the door of the room
open to some degree
9. Sexually- Aggressive Patient
Alert a colleague or security
Trust your instinct
Define appropriate boundaries
Share personal reactions
Refocusing the patient
10. Under the influence of drugs/alcohol
Alert security personnel and station
Place yourself at a distance
11. Seriously ill Patient
Collect the pertinent data first
Interview the family member or significant
Allow the patient to be present and
participate the interview
12. Older Adult Patient
Require additional time for patient
Schedule more than one interview
Interview an older patient’s family
member or care giver
Assess the quality of