Verbal Communication with the Patient Is Not Enough: The Six Languages of the Sick
Round 1
Reviewer 1 Report
- better to highlight since the title that the setting is Pediatric Palliative Care, and not Palliative Care at all.
- It's not clear if the focus of the commentary is on languages or how holistic-evolutive approach could be useful to palliative care
- "Doctors' and Nurses' section deals with too many issues in my opinion: for example the sentence about informed consent needs a better descriptions
Author Response
- better to highlight since the title that the setting is Pediatric Palliative Care, and not Palliative Care at all.
This paper is not only about Pediatric Palliative Care. In facts, it deals with children only in a paragraph within the introduction. Anyway, I reduced this paragraph to a short utterance. I also rephrased the title
- It's not clear if the focus of the commentary is on languages or how holistic-evolutive approach could be useful to palliative care
I have added an introduction, to make it clear that the focus is on languages. The holistic-evolutive approach is the background that makes possible the awareness of these languages. To this aim, I have rewritten the introduction and in part the conclusions.
- "Doctors' and Nurses' section deals with too many issues in my opinion: for example the sentence about informed consent needs a better descriptions
I have simplified and partially rewritten this paragraph
Reviewer 2 Report
Dear authors, first congrats on the topic chosen, nonetheless, this written needs to improve to be publishing.
The article has a problem with the redaction because, for the most part, the authors talk about Palliative Care or Communication. Nevertheless, it does not center on the persons who receive o need them. This should be improved.
Likewise, figure 3 must be modified because it gives a false reality of personal health with binary sex, against which today there is a worldwide fight to break down these stereotypes.
On the other hand, it is unclear to me if the problem is the magazine's format, but the use of bullets, lack of punctuation, and incorrect use of zip marks are messy.
Publication justification: The lack of reference to people in palliative care and work teams worldwide stands out, that is, how many and who benefit from this topic addressed. Therefore, in the introduction, there is no problematization of the problem to be addressed, or the development of the comment is justified.
Author Response
The article has a problem with the redaction because, for the most part, the authors talk about Palliative Care or Communication. Nevertheless, it does not center on the persons who receive o need them. This should be improved.
I have added some lines on this in the introduction. I made it clear that we are deling with particular people, very fragile and in some cases non-verbal
Likewise, figure 3 must be modified because it gives a false reality of personal health with binary sex, against which today there is a worldwide fight to break down these stereotypes.
Done
On the other hand, it is unclear to me if the problem is the magazine's format, but the use of bullets, lack of punctuation, and incorrect use of zip marks are messy.
It is due to tecnhnical reasons, I've tried to overcome it.
Publication justification: The lack of reference to people in palliative care and work teams worldwide stands out, that is, how many and who benefit from this topic addressed. Therefore, in the introduction, there is no problematization of the problem to be addressed, or the development of the comment is justified
I rewrote the introduction, with the aim of making this clear
Reviewer 3 Report
Dear author,
Thank you for the opportunity to read your work.
Although it has some interesting statements, it lacks some depth of analysis. It has very few elements that could be considered original or interesting for readers.
Even so, I would like to congrat you and recommend you to continue to develop your thoughts regarding palliative care.
Best regards
Author Response
Although it has some interesting statements, it lacks some depth of analysis. It has very few elements that could be considered original or interesting for readers.
I've reviewed the text, adding useful and original material, and I have rewritten the introduction in particular, with the aim of making this clear. I have also detailed the types of non-verbal communication. I think it is now a useful tool for those who work in this particular clinic area.
Author Response File: 
Author Response.doc
Round 2
Reviewer 1 Report
Although changes in paper are clear, major flaws as pointed out in first revision persist
Author Response
I thank the referee for pointing out that the paper was not clear in its scope. I emended it changing the title and part of the introduction. I also deepened the part about informed consent. I also deleted the part on pediatric palliative care and explained that I speak of palliative care is to make an example that is valid for the whole medicine
Reviewer 2 Report
Dear author, I hope you have a good week.
Thanks for responding the most of the comments with respect to the article.
If well the article was improved, it needs some changes yet.
In special, can read with adequate punctuation, in essence, without marks and red letters.
Author Response
Thank you. I have improved the article, with particular reference to what you have pointed out.
Reviewer 3 Report
Dear author:
Although I still believe the paper isn't very original and lacks interest to the majority of readers, it has been improved drastically since the last review.
Congratulations.
Author Response
I thank the reviewer for his/her comment. I have further changed and improved the article, to make it more original and, in particular, more interesting.
