Discusses the goals and challenges involved in palliative care. Lists key aspects of addressing advanced medical directives, do-not-resuscitate (DNR) orders, mechanical ventilation, and tube feedings at the end of life. Describes major symptoms encountered in terminal illness and treatment options. Outlines common sources of mental, emotional, and spiritual suffering at the end of life and measures to ease them. Identifies key factors to improve communication with the patient and family members and ease caregiver stress.