Emotional care is every bit as important as the relief of pain. Many people feel anger or depression at the thought of dying; feelings of guilt or regret over the past are also common. Ultimately, given loving, caring support from family, friends and Hospice staff, most terminally ill people come to terms with the thought of death.

A great cause of anxiety and worry may be fear of a painful end. Patients should be reassured that adequate pain relief will be maintained at all times, and that even when death is near, they need not fear suffering. Most people drift into unconsciousness just before the end, and die "in their sleep".

Fear of dependency and loss of dignity may also cause worry. The dying person should be allowed to participate as much as possible in family discussions and decisions.

Preparing for death may include practical matters such as writing a will or planning funeral arrangements. It may include less tangible things such as saying "I'm sorry", "thank you" or "goodbye".   Confession or reassurance from a member of the clergy or a pastoral care minister are also important for some people. Perhaps the most pressing need for the terminally ill person is open, honest communication. Relatives, friends and caregivers must be willing to share the dying person's concerns.

Emotional Needs

Care of the terminally ill is not limited to physical needs. The dying person has specific emotional needs that must be met. Family, friends, and caregivers should be sensitive to the following needs.

The need for open, honest communication

The need for emotional stability

The need to talk and share feelings

The need to be included

The need for someone to listen

The need for understanding

The need for unconditional love

The need for your time and patience

The need for intimacy through human touch

The need for reassurance

The need for laughter and pleasure