In many cultures talking about death is difficult and uncomfortable at any stage of life, but talking with a person that is terminally ill may present an even more difficult conversation. There are many different reasons we avoid end of life discussions, one may be its finality. Approaching the conversation with empathic listening and open mindedness breaks down cultural barriers surrounding death and can reduce anxiety. When a patient is on hospice there are social workers, chaplains, and bereavement counselors among other members of the hospice team who can assist in facilitating the conversation between the patient and their loved ones. This talk is a key element to both the patient and their loved ones, as empathic listening gives way to a warm compassionate and nonjudgmental atmosphere. This allows the patient to embark on a journey of mutual understanding of their final wishes regarding treatment at end of life.
Learning new ways of communication is not necessarily an easy thing to do as it is similar to learning a new language. Such is the case, when an individual patient is nonverbal and not able to express their feelings or final wishes. This presents a challenge for the patient and their loved ones. This is where the hospice team can assist in educating the family on different ways to communicate with a nonverbal patient. Some may be able to communicate by writing, painting, facial expression, or eye contact.
As the patient and their loved ones adapt to these new ways of communicating, they reported discovering these new methods as rewarding despite the obvious and trying challenges. Communication takes on many forms. By implementing methods at end of life, we can change the whole experience for the patient and their loved ones. Just one form of interaction has the power to bring hope, peace, and dignity.
In many cultures talking about death is difficult and uncomfortable at any stage of life, but talking with a person that is terminally ill may present an even more difficult conversation. There are many different reasons we avoid end of life discussions, one may be its finality. Approaching the conversation with empathic listening and open mindedness breaks down cultural barriers surrounding death and can reduce anxiety. When a patient is on hospice there are social workers, chaplains, and bereavement counselors among other members of the hospice team who can assist in facilitating the conversation between the patient and their loved ones. This talk is a key element to both the patient and their loved ones, as empathic listening gives way to a warm compassionate and 
nonjudgmental atmosphere. This allows the patient to embark on a journey of mutual understanding of their final wishes regarding treatment at end of life.
