This study examines how patients in palliative care subtly raise end-of-life (EoL) concerns through ambiguous or allusive cues and how healthcare professionals (HCPs) respond. Using conversation analysis of 85 consultations, it identifies when cues are foregrounded (central to the conversation) or backgrounded (embedded in other topics). HCPs may respond accordingly or diverge, either avoiding or initiating EoL talk. The findings emphasize that the interactional context shapes cue interpretation and response, not merely the cue itself. The study offers practical guidance for HCPs to navigate sensitive EoL discussions based on the structure and placement of patient cues in conversation. Read more…
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