Reconsidering Communication: Words Physicians Should Avoid
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A new perspective encourages physicians to avoid certain “never-words” when speaking with seriously ill patients, as language can significantly impact patient empowerment, understanding, and shared decision-making. Dr. Rana Lee Adawi Awdish of Henry Ford Hospital and colleagues identified words and phrases that may limit patient questions, imply judgment, or reduce options. Words like “need” and “just” used in phrases such as “She needs a transplant” or “We can just do supportive care” can inadvertently shut down alternative options or imply a suboptimal choice. Instead, Awdish’s team recommends phrasing that fosters dialogue, respects patient autonomy, and focuses on compassionate communication.
For example, instead of saying, “There’s nothing else we can do,” physicians might try, “Therapy X hasn’t controlled the cancer, but we still have options to improve your quality of life.” Similarly, “Do you want us to do everything?” can be reframed as, “Let’s discuss the available options if things worsen.” This approach promotes shared decision-making, giving patients and families greater control and engagement.
Dr. Robert Arnold from the University of Pittsburgh, an expert in clinician communication training, emphasized the need for empathy-driven conversations and adaptable phrasing that fits each clinician’s style. He highlights the importance of teaching clinicians to focus on what to say rather than what to avoid. This perspective encourages all physicians to embrace thoughtful language to strengthen patient relationships and enhance the quality of care for those facing critical illnesses.
Are There Some Words That Doctors Should Never Use? (Putka, Medpage Today, 11/13).
