Send to

Choose Destination
J Palliat Care. 2000 Oct;16 Suppl:S17-23.

Communication, negotiation, and mediation: dealing with conflict in end-of-life decisions.

Author information

University of Toronto, Joint Centre for Bioethics, and Mount Sinai Hospital, Toronto, Ontario, Canada.


In recent years, it has become possible for the end of life to be a negotiated event, particularly in the intensive care unit. A multitude of often unidentified and poorly understood factors affect such negotiations. These include, family dynamics, ever-changing health care teams, inconsistent opinions about prognosis, and cultural differences between physicians, and patients and their families. When these factors converge, conflict may erupt. This article explores the nature, antecedents, and cost of such conflict. Arguments for the importance of balanced communication, negotiation, and mediation in end-of-life care are put forward.

[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center