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Useful phrases to consider when facilitating discussions around end of life decisions
Use phrases that you feel comfortable with in everyday consultations, such as:
How do you think things are going?
Whats important to you?
Beginning statements with Can I speak honestly with you? can provide a warning shot that you have
difficult news.
Has anyone spoken to you about your condition?
Have you any thoughts about how you want to
manage (or do) things in the future?
Have you got any questions about your condition and specifically about what this might mean for the
future?
I understand this is a lot to take in, do you have anyone you can talk to?
Some phrases to avoid
I know how you feel.
I know what youre going through.
I understand.
You could have 10 days, 10 weeks or 10 years.
Further resources
Macmillan Cancer Support, www.macmillan.org.uk, has lots of resources on its website and LearnZone,
(learnzone.org.uk) such as ACP guide,
http://www.macmillan.org.uk/Documents/AboutUs/Health_professionals/EndofLife/ACPBooklet.pdf
The National EOL website, www.endoflifecareforadults.nhs.uk, has many useful resources including information for
patients and health care professionals on ACP, DNAR and communication training DVD and pack called Finding the
Words
The Dying Matters Coalition, www.dyingmatters.org, also has both training resources and patient leaflets covering a
variety of relevant scenarios. Also, facilitated Communication skills training for GPs.
The National Council for Palliative Care www.ncpc.org.uk, Difficult Conversations with people with COPD.