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American Journal of Hospice and Palliative Medicine®, Vol. 19, No. 6, 376-380 (2002)
DOI: 10.1177/104990910201900606

Communicating with surrogate decision-makers in end-of-life situations: Substitutive descriptive language for the healthcare provider

Michael Limerick, MSN, RN, CS

University of Texas at Austin, Austin, Texas

This article discusses the manner and actual wording used by health-care providers in communicating difficult information as it relates to end-of-life discussions. Several examples are given and substitutive language is suggested for more effectively obtaining informed consent from surrogate decision-makers, who are often responsible for determining the course of care for the terminally ill.

Key Words: patient communication • end-of-life care • surrogate decision-making


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