The document discusses palliative and end-of-life care guidelines. It focuses on preventing pain, coordinating care services, allowing natural death, and ongoing conversations with patients and families. The dying process involves freedom from pain, being at peace, and the presence of family. Advance care planning is a process of communication to clarify values and discuss goals and end-of-life decisions. Ethical issues include patient self-determination, relationships, and balancing benefits and burdens.

1. Palliative & End of Life Care Practical Guidelines

9. The most painful sight we ever confront is that of beauty yielding to impermanence. ~~Arthur Frank, At the Will of the Body: Reflections on Illness