The last 48 hours

The last days of life are challenging for both patients and their loved ones. Recognition of the terminal stage of life can allow time for care planning. An early discussion can provide an opportunity for questions. It can be reassuring for patients and families to know that care needs are being carefully considered and met at this important time. The management of physiological changes, psychological distress, and spiritual needs at the end of life can improve quality of care and the quality of death; a ‘good death’ can help the bereavement and wellbeing of those left behind.