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Nearing the End of Life

If you are reading this, chances are that you or someone close to you has advanced cancer. This probably means that cancer has spread from where it started to other parts of the body, or it has harmed vital tissues and organs.

At this point, you know that the cancer is not going away and that you probably have limited time to live. In fact, your doctor may have told you that there is no more treatment that can really help stop your cancer and that you have only a short time left. Many patients and family members have questions about what to expect during these last months of life. You may have some of the same questions. The information shared here has been written to help answer some of the questions that patients and family members ask about what to expect during the last 6 months of life.

Learning that you have advanced cancer may make you feel lost and afraid. This is natural. People have many questions of all sorts, such as:

  • What is going to happen to me?
  • Have I done everything I should have done?
  • What are the other options?
  • Am I going to die?
  • How much control will I have over my life and my death?
  • Will my wishes about my care be followed?
  • How much pain and suffering will I have?
  • What if I feel that I can't take much more treatment?
  • What am I going to do about money?
  • How long am I going to have to go through this?
  • How can I burden my family in this way?
  • Will this be too much for my family to bear?
  • What happens when I die?

The following may help you understand what to expect both physically and emotionally during these last few months. Hopefully, it will help you to live fully and get the most out of this last phase of your life. It is written for the person with cancer, but it can be useful to the people who love and support someone with advanced cancer, too. Use this information to get answers to your questions and concerns about this very sensitive and difficult time. Please remember that there are also professional cancer information specialists who are ready to talk with you about these issues 24 hours a day, 7 days per week at our National Call Information Center. You can speak to one of them by calling 1-800-227-2345.

Your Emotions or How You May Be Feeling
Knowing that death is coming soon takes an emotional toll on the person with cancer and their loved ones.
The Importance of Communication
Communication at this time can be bittersweet. Here are suggestions on how to help others deal with your remaining months and make the most of the time you have with the people who matter to you.
Making End of Life Decisions
You may find that there are some final decisions you want to make for yourself and your family. Here are descriptions of some of the tools, services, and financial resources that are available.
Physical Symptoms in the Last 2 to 3 Months of Life
Here we discuss some of the physical things you may experience and what can be done to keep you comfortable.
When Death Is Near
This section is written for the caregiver and lists some signs that death may be close. It also gives the caregiver suggestions for what they may do to help.
Facing Death
Knowing what to expect and being prepared to deal with it can enable you and your loved ones to get the support and care needed to experience the very best quality of life up to the very end of life.
Additional Resources
Find more sources of information and support that you and your loved ones may find helpful.
References
Also in this area
Nearing the End of Life  
Recurrence  
Supporting Patients  
Related Tools & Topics
Treatment Topics and Resources  
Coping with Physical and Emotional Changes  
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