Original ArticlesFacilitating Client Ability to Communicate in Palliative End-of-Life Care Impact of Speech–Language PathologistsPollens, RobinAuthor Information Department of Speech, Language and Hearing Sciences, Western Michigan University, Kalamazoo. Corresponding Author: Robin Pollens, MS, CCC-SLP, Department of Speech, Language and Hearing Sciences, Western Michigan University, 1903 W. Michigan Ave, Kalamazoo, MI 49008 (email@example.com). The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Topics in Language Disorders: July/September 2020 - Volume 40 - Issue 3 - p 264-277 doi: 10.1097/TLD.0000000000000220 Buy Metrics Abstract The client's ability to communicate is key to providing quality palliative end-of-life care. A speech–language pathologist (SLP) can facilitate the patient's ability to communicate concerns or preferences in order to (1) improve the health care team's ability to manage symptoms and engage in end-of-life discussions, and (2) support the patient and family's ability to maintain social connectivity. This article describes methods for implementing speech–language pathology communication consults in palliative or end-of life care. The information is illustrated with patient vignettes and supported by literature resources. Specific participation goals and outcomes illustrate the impact of the SLP treatment on the interprofessional team palliative care outcomes. Approaches to advocating for speech–language pathology communication consults in palliative end-of-life care are highlighted. Ongoing research and advocacy may result in valuable skilled speech–language pathology services for patients with communication barriers in palliative or end-of-life care. © 2020 Wolters Kluwer Health, Inc. All rights reserved.