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The Limits of "Life-Limiting".

Robert C Macauley1

  • 1Oregon Health and Science University, Portland, Oregon, USA.

Journal of Pain and Symptom Management
|March 25, 2019
PubMed
Summary

The terms "life-threatening" and "life-limiting" are debated in palliative care. "Life-limiting" may inaccurately convey prognosis and negatively impact patient perception.

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Area of Science:

  • Palliative Care Medicine
  • Medical Terminology
  • Healthcare Communication

Background:

  • Hospice and palliative medicine faces challenges in defining appropriate patient populations.
  • Existing terminology like "life-threatening" may not encompass all patients needing palliative care.
  • The term "life-limiting" has emerged to broaden inclusion but presents its own issues.

Observation:

  • "Life-threatening" incorporates probability, crucial for risk assessment.
  • "Life-limiting" denotes a certain outcome without considering likelihood.
  • The term "life-limiting" is frequently used in pediatrics, potentially disproportionately.

Findings:

  • "Life-limiting" may inaccurately portray the prognosis and purpose of palliative care.
  • This terminology can send a self-defeating message to patients, implying a guaranteed negative outcome.
  • The certainty conveyed by "life-limiting" distorts the understanding of palliative care's goals.

Implications:

  • Re-evaluating terminology in palliative care is essential for accurate communication.
  • Clearer definitions are needed to ensure appropriate patient identification and care.
  • Addressing the nuances of prognostic language can improve patient-centered care and understanding.
Keywords:
Life-limitinghospicelife-threateningpediatricriskterminal

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