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What not to say to someone in the hospital?

Published in Hospital Communication 4 mins read

It's crucial to choose your words carefully when communicating with someone in the hospital to offer genuine support and avoid causing distress. Thoughtful language can make a significant difference in their emotional well-being.

Empathy in Action: What Words to Avoid

When visiting or speaking with someone in the hospital, it's natural to want to offer comfort and encouragement. However, certain phrases, even if well-intentioned, can inadvertently minimize their experience, create pressure, or imply blame. The goal is to foster an environment of understanding and support, acknowledging their reality without imposing expectations.

Phrases to Reconsider and Better Alternatives

Some common expressions can be particularly unhelpful, especially when a patient is facing serious illness. Opting for more empathetic and collaborative language can create a stronger sense of support and partnership.

Here are some phrases to avoid and more constructive alternatives:

Avoid Saying Instead, Consider Saying
"Do you want us to do everything?" "Let's discuss the available options if the situation gets worse."
"Everything will be fine." "I'm here to support you throughout this process."
"You need to fight/battle this." "We will face this difficult disease together."

Explanation of these 'Never-Words':

  • "Do you want us to do everything?" This phrase can inadvertently place a heavy burden on the patient to make difficult decisions about their care, potentially implying that they are giving up or that they are solely responsible for complex choices in a vulnerable state. The alternative offers a collaborative approach to future planning.
  • "Everything will be fine." While intended to reassure, this statement can sound dismissive of the patient's fears or the seriousness of their condition. It can also invalidate their feelings if their situation is, in fact, not "fine." Acknowledging their current state and offering your presence is more comforting.
  • "You need to fight/battle this." Using metaphors of "fighting" or "battling" can imply that a patient has control over their illness and that their recovery depends on their willpower. If their condition worsens, they might feel like they failed or didn't "fight hard enough," leading to guilt or shame. Focusing on facing the challenge together offers compassion and shared burden.

General Communication Tips for Hospital Visits

Beyond these specific phrases, consider these broader guidelines for effective and empathetic communication:

  • Avoid Comparisons: Refrain from saying things like, "My relative had the same thing, and they..." Every person's experience is unique, and comparisons can minimize their individual struggles or create anxiety.
  • Don't Minimize Their Pain or Feelings: Phrases such as "It's not so bad" or "Look on the bright side" can invalidate their discomfort or emotional pain. Acknowledge their feelings, even if you don't fully understand them.
  • Refrain from Unsolicited Medical Advice: Unless you are their medical professional, avoid offering diagnoses, treatments, or remedies. This can be confusing, contradictory to their care plan, and overwhelming.
  • Be Mindful of Their Energy Levels: Hospital stays are exhausting. Keep visits short, and be prepared to leave if the patient seems tired or overwhelmed.
  • Avoid Asking for Graphic Details: Unless the patient offers, don't press for explicit details about their condition, symptoms, or procedures. They may not want to relive or discuss them.
  • Respect Their Privacy: Do not share details about their condition with others without their explicit permission.
  • Offer Specific, Practical Help: Instead of a vague "Let me know if you need anything," offer concrete assistance like, "Can I bring you a specific book?" "Can I water your plants at home?" or "Can I pick up groceries for your family?"
  • Don't Bring Negativity: Avoid sharing your personal problems or negative news that might add stress to their already difficult situation.
  • Avoid Questions That Put Them on the Spot: Questions about prognosis, finances, or highly personal matters can be too much pressure. Focus on their immediate comfort and well-being.

Ultimately, effective communication with someone in the hospital centers on active listening, empathy, and providing presence and support without judgment or unsolicited advice. Your thoughtful words and actions can be a significant source of comfort during a challenging time.