{"id":22795,"date":"2026-01-27T14:19:52","date_gmt":"2026-01-27T12:19:52","guid":{"rendered":"https:\/\/medicalmanage.gr\/?p=22795"},"modified":"2026-01-27T14:19:53","modified_gmt":"2026-01-27T12:19:53","slug":"10-things-you-should-never-say-to-patients","status":"publish","type":"post","link":"https:\/\/medicalmanage.gr\/en\/10-things-you-should-never-say-to-patients\/","title":{"rendered":"10 things you should never say to patients"},"content":{"rendered":"\n<p>A paper published in&nbsp;<a href=\"https:\/\/www.mayoclinicproceedings.org\/article\/S0025-6196(24)00256-8\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Mayo Clinic Proceedings<\/em><\/a>&nbsp;identifies 10 words and phrases as &#8220;never words&#8221; that clinicians should avoid saying to patients, particularly during difficult encounters with emotional patients. The paper&#8217;s authors, from Texas A&amp;M University and Henry Ford Health, emphasized the importance of &#8220;compassionate communication&#8221; as part of the patient&#8217;s treatment process.<\/p>\n\n\n\n<p>\u00abCommunicating the nature, purpose and intended duration of often complex treatments \u2014 and setting realistic expectations about what they offer \u2014 still comes up against timeless patient experiences: fear, intense emotions, lack of medical expertise and the sometimes unrealistic hope for cure,&#8221; they wrote.<\/p>\n\n\n\n<p>It&#8217;s important for patients and their families to maintain a feeling of psychological safety in their communication with health care professionals, and the use of certain &#8220;never words&#8221; can undermine their ability to communicate freely and without fear of judgment.<\/p><div id=\"medic-2264825554\" class=\"medic-mesa-sto-article medic-entity-placement\" style=\"margin-left: auto;margin-right: auto;text-align: center;\"><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3269445924940809\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- medical en mesa sto arthro -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-3269445924940809\"\r\n     data-ad-slot=\"8662865328\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><\/div>\n\n\n\n<p>&#8220;&#8216;Never words&#8217; are conversation stoppers,&#8221; the authors wrote. &#8220;They seize power from the very patients whose own voices are essential to making optimal decisions about their medical care.&#8221;<\/p>\n\n\n\n<p>The emphasis in medical care is understandably on the science of medicine, but it is so important to incorporate communications training into the curriculum. A key opportunity is medical school students and graduates having superb patient-centered, skilled communicators as role models in their clinical training during medical school and residency.<\/p>\n\n\n\n<p><strong>Let\u2019s see the 10 things you should never say to patients<\/strong><\/p>\n\n\n\n<p><strong>\u201cThere is nothing else we can do\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cTherapy X has been ineffective in controlling the cancer, but we still have the chance to focus on treatments that will improve your symptoms and, hopefully, your quality of life\u201d<\/em><\/p>\n\n\n\n<p>Patients and their families should not be left with a feeling of hopelessness. Even in situations where there is no possibility of a cure, clinicians can still convey an ability to treat the patient to the best of their abilities.<\/p>\n\n\n\n<p><strong>\u201cShe will not get better\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cI\u2019m worried she won\u2019t get better\u201d<\/em><\/p>\n\n\n\n<p>Rather than a firm and negative prognostication, full of hopelessness, clinicians can express sympathetic concern regarding the prognosis.<\/p>\n\n\n\n<p><strong>\u201cWithdrawing care\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cWe can shift our focus to his comfort rather than persisting with the current treatment, which isn\u2019t working.\u201d<\/em><\/p>\n\n\n\n<p>According to the paper, clinicians never &#8220;withdraw&#8221; care, which would serve as an indication of giving up and denying further services or treatment to patients and their families. Instead, say what is really meant by the phrase, and explain the advantages of refocusing the goals of care.<\/p>\n\n\n\n<p><strong>\u201cCircling the drain\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cI\u2019m worried she\u2019s dying.\u201d<\/em><\/p>\n\n\n\n<p>&#8220;Avoid slang terms that objectify and diminish the patients,&#8221; the authors of the paper wrote.<\/p>\n\n\n\n<p><strong>\u201cDo you want us to try everything?\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cLet\u2019s discuss the available options if the situation gets worse.\u201d<\/em><\/p>\n\n\n\n<p>Rather than a question that could be leading and not in line with the patients&#8217; or their family&#8217;s goals, clinicians can invite dialogue, which could even prove to provide additional comfort.<\/p>\n\n\n\n<p><strong>\u201cEverything will be fine\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cI\u2019m here to support you throughout this process.\u201d<\/em><\/p>\n\n\n\n<p>Avoid setting unrealistic expectations and making promises that things will be fine, when the outcome is actually unknown. Instead, focus on offering realistic and humane support.<\/p>\n\n\n\n<p><strong>\u201cFight\u201d or \u201cBattle\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cWe will face this difficult disease together.\u201d<\/em><\/p>\n\n\n\n<p>It shouldn&#8217;t be implied that patients can overcome illness through sheer will. This puts patients in an uncomfortable situation where they may feel that they are letting their family down if they are unable to recover. &#8220;If only she&#8217;d fought harder, she could have won&#8221; wrote the authors.<\/p>\n\n\n\n<p><strong>\u201cWhat would he want\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cIf he could hear all of this. What might he think?\u201d<\/em><\/p>\n\n\n\n<p>The authors say that the word &#8220;want&#8221; is ill-defined in hospital settings. It&#8217;s impossible to tell exactly what a patient may want if they cannot communicate it themselves.<\/p>\n\n\n\n<p><strong>\u201cI don\u2019t know why you waited so long to come in\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cI\u2019m glad you came in when you did.\u201d<\/em><\/p>\n\n\n\n<p>There should be no blame placed on the patient, as it would be generally unproductive and only cause additional anxiety and stress. Instead, clinicians should focus on what can be done given the present circumstances.<\/p>\n\n\n\n<p><strong>\u201cWhat were your other doctors doing\/thinking?\u201d<\/strong><\/p>\n\n\n\n<p>Alternative: <em>\u201cI\u2019m glad you came to see me for a second opinion. Let\u2019s look at your records and see where we can go next.\u201d<\/em><\/p>\n\n\n\n<p>Again, clinicians should be focus on what can be done, what is possible and what is realistic. It would be unproductive and unwise to speak negatively of other health care professionals whose cooperation may still be relied upon moving forward with the patient.<\/p>\n\n\n\n<p><strong>Key Takeaways<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avoiding &#8220;never words&#8221; is crucial for maintaining psychological safety and open communication between patients and health care professionals.<\/li>\n\n\n\n<li>Compassionate communication is integral to the treatment process, helping manage patient emotions and expectations.<\/li>\n\n\n\n<li>The study suggests incorporating communication training into medical education to enhance patient-centered care.<\/li>\n\n\n\n<li>Role models in clinical training can significantly influence the development of effective communication skills in medical students and professionals.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A paper published in&nbsp;Mayo Clinic Proceedings&nbsp;identifies 10 words and phrases as &#8220;never words&#8221; that clinicians should avoid saying to patients, particularly during&hellip;<\/p>\n","protected":false},"author":26,"featured_media":22796,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[103],"tags":[],"ppma_author":[282],"class_list":["post-22795","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-management"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"A paper published in Mayo Clinic Proceedings identifies 10 words and phrases as &quot;never words&quot; that clinicians should avoid saying to patients, particularly during difficult encounters with emotional patients. 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12:19:53","updated":"2026-01-27 12:21:49","seo_analyzer_scan_date":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/medicalmanage.gr\/en\/\" title=\"Home\">Home<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">&raquo;<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/medicalmanage.gr\/en\/category\/management\/\" title=\"Management\">Management<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">&raquo;<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t10 things you should never say to patients\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/medicalmanage.gr\/en\/"},{"label":"Management","link":"https:\/\/medicalmanage.gr\/en\/category\/management\/"},{"label":"10 things you should never say to 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Silivestros","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/58ec9da6943414a0d5e0fe25ec325d7dae9da8996c61cda1592390690267ecaf?s=96&d=mm&r=g","author_category":"","first_name":"Vasilis","last_name":"Silivestros","user_url":"","job_title":"","description":""}],"_links":{"self":[{"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/posts\/22795","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/users\/26"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/comments?post=22795"}],"version-history":[{"count":1,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/posts\/22795\/revisions"}],"predecessor-version":[{"id":22797,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/posts\/22795\/revisions\/22797"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/media\/22796"}],"wp:attachment":[{"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/media?parent=22795"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/categories?post=22795"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/tags?post=22795"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/medicalmanage.gr\/en\/wp-json\/wp\/v2\/ppma_author?post=22795"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}