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'distressing decision' is a correct and usable phrase in written English
You can use it to refer to a difficult or upsetting decision that someone has had to make. For example, "Faced with an extremely distressing decision, the parents reluctantly agreed to end their terminally ill child's treatment".
Exact(3)
Can you help us challenge this highly distressing decision?
If there is a silver lining to this deeply distressing decision, it is the immense mobilization we've seen in response.
Despite the fact that many guidelines stress that CS is 'normal medical practice', for many physicians, nurses, and relatives the initiation of CS can be an emotionally distressing decision.
Similar(57)
Relatives of the soldiers who were killed in the 2007 raid said they found the decision distressing.
Jim Wyda, a federal public defender in Maryland who represented Mr. Muhammad while he was held there, said the news of his decision yesterday was distressing.
It all happened again Tuesday, but the difference came in the fourth inning, when a tactical decision backfired in distressing fashion.
The lack of comprehension on a topic that is part of the bread and butter of newspapers today is deeply distressing and its role in editorial decision-making cannot be understated.
Each year, there are distressing stories of people, having taken the decision to end their own lives, being unable to complete the act successfully and who are then left in a far worse and more distressing situation than the one they were seeking to escape.
But he said the decision to grant work permits was distressing.
These decisions hinge around complex and potentially distressing issues such as the duty to preserve life, the right to a peaceful and dignified death, and the balance between length of life and quality of life [3].
These decisions hinge around complex and potentially distressing issues such as the duty to preserve life, the right to a peaceful and dignified death, and the balance between length of life and quality of life [ 3].
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com