Communication

Abstract

Communication is the framework that supports the relationship between the clinician, the child, and their family, and this relationship is itself therapeutic. Through communication, clinicians learn who the child and family members are as unique human beings and have the opportunity to develop relationships that form the context of care and decision-making over time. Although the words that are used in conversations are important, and suggested approaches are described, it is through authentic human dialogue that the bonds are developed with patients and their families, which constitute the true significance of this work. Through self-awareness and understanding of the barriers we all use to avoid difficult conversations; solid and often profound relationships can be established so that both clinicians and families can find meaning in even the most difficult circumstances. Indeed, for many who work with these children and their families, such relationships are one of the main reasons why they continue to choose this work.