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階段 6 — 評估結果。審查語言近用、自我管理和後續追蹤的時間軸，並回答三個結果問題。

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Time	Data
Admission — Inadequate language access	The adult son interprets after staff decide not to wait 30 minutes. English treatment and rights documents are completed without documented qualified interpretation or demonstrated patient understanding.在工作人員決定不等待30分鐘後，成年兒子進行口譯。英文治療和權利文件在沒有記錄合格口譯或證明個案理解的情況下完成。
Discharge morning — Risk recognized	Mrs. L gives vague yes responses, the son summarizes instead of interpreting her explanation, and no independent insulin or meter demonstration is documented. Discharge teaching is paused.L女士給出模糊的「是」回應，兒子總結而非口譯她的解釋，且沒有記錄獨立的胰島素或血糖機示範。出院教學暫停。
Qualified-interpreter session — Plan reconciled	Mrs. L privately requests a qualified Vietnamese interpreter and later invites her son as support. Prescriptions, supplies, and supplements are reconciled; unverified herbal products remain on hold pending product-specific review.L女士私下要求一位合格的越南語口譯員，之後邀請她的兒子作為支持。處方、用品和補充劑已協調；未經證實的草藥產品仍暫停使用，待產品特定審查。
Before discharge — Teach-back repaired	Mrs. L initially confuses the glargine and lispro pens. After reteaching, she independently identifies both products, demonstrates the prescribed doses and meter use, coordinates lispro with eating, and explains the low-glucose response and contacts.L女士最初混淆了glargine和lispro胰島素筆。重新教學後，她獨立辨識出兩種產品，示範了規定的劑量和血糖機使用，將lispro與進食協調，並解釋了低血糖反應和聯絡方式。
48 hours — Accessible follow-up	During a qualified-interpreter-supported call, Mrs. L reads back her log, reports no value below 70 mg/dL, applies the individualized meal-related instruction correctly, and confirms the pharmacist-review appointment.在由合格口譯員協助的電話中，L女士讀回她的記錄，報告沒有低於70 mg/dL的數值，正確應用了個人化的餐食相關指示，並確認了藥師審查預約。

Q1. Which finding best supports discharge readiness?哪項發現最能支持出院準備就緒？

The son states that Mrs. L understands the plan兒子表示L女士理解計畫 Mrs. L signs the Vietnamese handoutL女士簽署了越南語講義 After reteaching, Mrs. L independently demonstrates the meter, distinguishes both insulins, gives the prescribed doses and timing, and explains the low-glucose response重新教學後，L女士獨立示範了血糖機、區分兩種胰島素、給予規定的劑量和時間，並解釋了低血糖反應

Q2. Which interpretation of the 48-hour follow-up is most accurate?對48小時後續追蹤的哪種解釋最準確？

Interpreter-supported review of glucose data and decisions shows an active safety loop, while medication and supplement follow-up must continue口譯員協助的血糖數據和決策審查顯示一個活躍的安全循環，同時藥物和補充劑的後續追蹤必須繼續 No glucose below 70 mg/dL proves that future interpretation is unnecessary沒有低於70 mg/dL的血糖值證明未來不需要口譯 The son should replace the interpreter for all remaining visits兒子應在所有剩餘訪視中取代口譯員

Q3. Which system response best addresses the failure identified at admission?哪種系統回應最能解決入院時發現的失敗？

Require every family to bring an English-speaking adult要求每個家庭都帶一位會說英語的成年人 Capture preferred language early, offer timely qualified modalities, maintain reliable high-risk translated materials, and audit interpreter use and teach-back及早記錄偏好語言、提供及時的合格口譯方式、維護可靠的高風險翻譯材料，並審核口譯員的使用和回覆教學 Require every hospital document to be bilingual and interpreter-co-signed regardless of context要求每份醫院文件都必須是雙語並由口譯員共同簽署，無論情境如何

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