Abstract

This paper examines several areas that health care providers may find difficult in the care of patients near the end of their lives. It looks at society's denial of death and at ways physicians and their patients use ongoing active treatments to maintain that denial. It suggests that as active treatment fails to be effective and hope fades, physicians must find ways to care for those they cannot cure. It explores the function of hope to help physicians, their patients, and their patients' families redirect their thinking. Finally, it describes how the physician may support a patient's spirituality by becoming more comfortable with his own.