When communicating with a patient who speaks another language and little/no English, it is the best practice to arrange for an interpreter to be present. Even if they can speak some English, it is best to provide an interpreter for their comfort and to avoid miscommunication and unintentional misunderstanding. Deferring important conversations to the provider to avoid misunderstanding is not the best practice because it leads to missed opportunities. Utilizing the family to provide translation is not appropriate as it violates patient confidentiality.