At 0700, the nurse reviews Mrs. L's discharge record. Mrs. L says that Vietnamese is her preferred healthcare language and that she cannot discuss medicines safely in English. Current findings include temperature 36.8 C, heart rate 78/min, respirations 16/min, and oxygen saturation 98 percent on room air. The record shows admission documents completed through her son because the qualified-interpreter line had a 30-minute wait and prebreakfast glucose 142 mg/dL after resolution of the acute crisis. During rounds she gives repeated yes responses without explaining the plan in her own words. Her support network includes an adult son living 30 minutes away who visits several times weekly, but when asked about low glucose, her son says she understands without interpreting a patient explanation. The chart lists Vietnamese education materials available in the hospital library, yet there is no independent insulin or glucose-meter demonstration documented before today's planned discharge. A primary-care follow-up appointment is already entered for next week. Mrs. L is alert, lives alone, and will use glargine nightly and lispro with meals when eating.
0700時，護理師檢閱L女士的出院記錄。L女士表示越南語是她偏好的醫療保健語言，且她無法安全地用英語討論藥物。目前的發現包括體溫36.8°C、心率78次/分、呼吸16次/分，以及室內空氣下血氧飽和度98%。記錄顯示因為合格口譯專線需等待30分鐘，入院文件由她的兒子協助完成，以及急性危機解決後，早餐前血糖為142 mg/dL。查房期間，她重複回答「是」，但沒有用自己的話解釋計畫。她的支持網絡包括一位住在30分鐘車程外，每週探訪數次的成年兒子，但當被問及低血糖時，她的兒子說她理解，但沒有轉述個案的解釋。圖表列出醫院圖書館有越南語衛教資料，然而在今天計畫出院前，沒有獨立示範胰島素或血糖機的記錄。下週已安排初級照護回診。L女士意識清楚，獨居，並將在進食時每晚使用甘精胰島素，餐時使用賴脯胰島素。