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Final Silence.

Ju Won Kim1

  • 1Division of Hemato-oncology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

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|December 23, 2025
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Summary
This summary is machine-generated.

Physicians face challenges discussing end-of-life care, impacting patient autonomy and family support. Addressing the burden of silence improves communication for the dying patient.

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Area of Science:

  • Medical Ethics
  • Palliative Care
  • Communication in Healthcare

Background:

  • The care of dying patients often involves complex ethical considerations.
  • Silence surrounding end-of-life discussions can negatively affect patients and families.
  • Physician communication is a critical component of quality palliative care.

Purpose of the Study:

  • To explore the physician's experience with the burden of silence in end-of-life care.
  • To identify barriers and facilitators to open communication with terminally ill patients.
  • To advocate for improved communication strategies in palliative medicine.

Main Methods:

  • Qualitative study exploring physician perspectives.
  • Phenomenological approach to understand lived experiences.
  • Thematic analysis of physician narratives.

Main Results:

  • Physicians experience significant emotional distress due to communicative barriers.
  • Fear of causing distress or loss of hope silences physicians.
  • Lack of training and institutional support exacerbates the burden of silence.

Conclusions:

  • Breaking the silence in end-of-life care is crucial for patient-centered outcomes.
  • Enhanced communication skills training for physicians is essential.
  • Healthcare systems must support open dialogue in palliative care settings.