Dear colleagues and relatives of the patient! Before starting a conversation on a serious topic, it is worth noting the fact that the physical departure of a person from their life (death) is one of the stages of our existence. This should be taken for granted! What is the physical departure of a person from life? It is not customary to talk about death out loud; people philosophize on this topic, because no one knows what will happen after. Abstract death does not frighten anyone; there are discussions about it, referring to the Tibetan Agni Yoga or the Book of the Dead. But is there truth in what is written? After all, it is possible to check data from books only once, and after that it will no longer be possible to tell descendants about it. People who have experienced clinical death see death as the beginning of a new journey. For them, the death of the physical body is not death. For a person living on earth, the fear of death is one of the strongest, because it is concrete. There is a strange duality about this: at one time we feel the fear of death; at another time we think that we will live forever. Often we talk about death in relation to others, but not to ourselves. We continue to make plans for the future, meet with family, travel, and develop. But death for each of us is an irrefutable fact. Most people associate death with the passing of their physical body. However, this stage of life is one of the components of the spirituality of the Eternal Mind. How to behave with a patient? From an excerpt from Clazy’s rector’s speech about the activities of a doctor: “His highest mission begins where the possibility of curing the patient ends.” Relatives, having learned about the diagnosis of a loved one, prefer to remain silent about his condition. However, the language of gestures, facial expressions, and body speaks for itself. The responsibility of the patient's environment is to create as close physical contact as possible throughout his life. Doctors and psychotherapists see the “patient’s face”: During consultations, they take him by the hand or touch him on the shoulder to make it clear that the affective negativity is divided into two. Being nearby, they discuss the problem of quality of life in a special way. Often the concepts of life and death are combined so that one determines the other. Palliative medicine: the historical aspect of the issue Until modern times, doctors tried to exclude from practice solving the problems of dying patients; this was done by monastery employees. Many of the traveling patients with an incurable disease found in almshouses the last refuge for the physical body. The fundamental changes that occurred at the turn of the Renaissance and Modern times prompted doctors to lend a hand to the dying patient. Already in the 17th-19th centuries, doctors began to pay attention to protecting the health of children, women, and the poor, introduced sanitary supervision of food products, and organized public hygiene. Subsequently, palliative medicine appeared, which is still relevant today. The principles of palliative medicine consider death from the perspective of life: Comprehensive care for a patient implies the satisfaction of his physical needs. Caring for a terminally ill patient is built on a medical, social, spiritual and psychological basis. Medical aspect Creating comfortable conditions for life (care, peace, elimination of problems with nutrition) is the next stage of the medical aspect. Psychological aspect Psychological problems are the most complex, therefore they concern not only the patient himself, but also his relationship with society, interests, and level of safety. The presence of a reference person (psychologist, psychotherapist, relative) nearby during difficult life moments makes it easier to resolve the patient’s psychological problems. Social aspect Resolving issues of work, finances, everyday life, family is the main responsibility of the patient’s environment. Proper care for the patient, removing responsibility from him for playing many roles creates a certain level of quality of life. Spiritual aspect Spiritual support, motivation, heart-to-heart conversations are the right way to improve the patient’s quality of life. This is perhaps the most important point that allows you not to/