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Table 5 Transcript about acknowledging dying patients’ physical discomfort and respecting their treatment preferences

From: A study of Chinese medical students’ communication pattern in delivering bad news: an ethnographic discourse analysis approach

21

Medical Student

If he removed the oxygen mask, there would be definite risks. But I would like to know more about the time when your father told you about his breathing experience when he was wearing the mask.

22

Patient’s Child

He said when he was wearing the mask, the air was plunging in and he felt very uncomfortable. He said he never wanted to wear it again, even if it means dying.

23

Medical Student

Um, (cough), if your father could communicate with us, do you think he would want to continue using the machine?

24

Patient’s Child

He, I think he wouldn’t want to. But could the machine help him?

25

Medical Student

Um, as I mentioned before, the machine is the best solution we can offer so far. Of course, there are further treatments, but I must tell you that the treatments would be more invasive than the machine and more uncomfortable for the patient. Yes, if your father felt uncomfortable with a non-invasive oxygen mask, it would be even more unbearable for him to undergo further treatment.