Native Language

Many communities speak their native language when they are among each other. Although you might not understand the words, do not feel left out as this is their preferred method of communicating and for most, English is not their primary language. You may also find that some native languages intersperse English words while they talk because there are no native words to describe what they are trying to say. One pharmacist, speaking on behalf of her community says,

“Please do not become offended when a conversation is being carried out amongst one another in the Crow language. An unwritten understanding is that we speak our language to one another first, then translate for non-speakers who may be present. A Crow speaker does not intend to be rude or make one uncomfortable by speaking the language.”

Unfortunately, you might also recognize that the younger generation may not speak their language fluently or at all. If you find the need to use an interpreter, remember to address the patient NOT the interpreter. The interpreter is there to assist you and is not the patient in need of medical care. You’ll realize that some sites utilize the pharmacy technicians as interpreters even though the patient has a native speaking family member with them. This is done because sometimes the family member is not familiar with medical terminology or does not speak fluently and the pharmacist would not know what is being said by the family member.
http://www.ihs.gov/pharmacy/index.cfm?module=awareness