Last week I posted information on recognition and emergency management of the acutely sick patient. It is just as important to be able to identify those patients in whom no cure is possible or who are nearing the end of their life. Cardiorespiratory disease or stroke, for example, can lead to significant terminal morbidity; as can end stage kidney disease, HIV and cancer. In these patients comfort and symptom control are vital. I attach an excerpt from a WHO publication about management of common problems in palliative care. It is helpful because it also makes suggestions about how families can help their loved ones when they are cared for at home. I have included some links to other related documents that I think may be useful.