Terminal illness presents complex care needs that should be addressed in order to ensure that the person approaching end of life receives the best care to ensure the best quality of life in their remaining days. These needs range from immediate physical needs to ongoing psychological needs that arise during end of life care and approaching death. Often individuals approaching the end of life have additional social needs as relationships may change drastically, resulting in a loss of relationships and increased loneliness. Family members and others who participate in caregiving have emotional and psychological needs separate from the needs of the individual approaching the end of life that should be acknowledged and addressed. This course discusses the challenges that direct support professionals may experience when providing end of life care to terminally ill patients and the best practices for treatment.