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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: Patient Educ Couns. 2021 Jan 21;104(8):1978–1984. doi: 10.1016/j.pec.2021.01.018

Figure 1.

Figure 1.

Alterations Theory Model demonstrates the professional and emotional distress that impacts interpreter alterations in the context of EOL discussions. In this model, professional challenges influence unintentional alterations while intentional alterations are rare and impacted by a confluence of emotional and professional distress.