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Significant references to communication barriers already exist within the literature, relating to end-of-life conversations. The presence of a relative who has a healthcare background may further impact the communication approach of healthcare professionals. Communication barriers also influence conversations about future care needs and preferences, including access to advance care planning, specialist palliative care and anticipatory medications, which may be difficult to access for patients with a non-cancer diagnosis such as dementia. While they may be challenging, effective and empathic end-of-life conversations open up patient choices, prevent inappropriate palliative care and may even impact the bereavement process. <\/jats:p>","DOI":"10.12968\/bjcn.2025.0015","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T16:27:26Z","timestamp":1753979246000},"page":"380-387","source":"Crossref","is-referenced-by-count":1,"title":["Communication and end-of-life care in dementia: insights from a close family member working in healthcare"],"prefix":"10.12968","volume":"30","author":[{"given":"Jennifer M","family":"Hadley","sequence":"first","affiliation":[{"name":"Clinical Educator and Clinical Nurse Specialist in Palliative Care, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmac142"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-004080"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000874"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221133670"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.17.2253"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1177\/0141076813503593"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-033046"},{"issue":"11","key":"B11","first-page":"e49639","volume":"15","author":"El-Tallawy SN","year":"2023","journal-title":"Cureus"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2003.12.008"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221076712"},{"issue":"11","key":"B14","first-page":"1","volume":"120","author":"Francis S-A","year":"2024","journal-title":"Nurs Times"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2012.000800"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2020.25.2.58"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107838"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1177\/026921639701100404"},{"key":"B20","unstructured":"Hospice UK. 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