But by deciding what end of life care best suits your needs when you are healthy you can help those close to you make the right choices when the time comes end of life planning usually includes making choices about the following the goals of care for example whether to use certain medicines during the last days of life. Also you can work with your loved ones health care team to make sure that he or she remains comfortable at the end of life pain anxiety and other end of life symptoms can often be treated even at the end of life you can continue to support and nurture your relationship with your loved one. And culturally influenced mindset the key issues in end of life care are pain and symptom control shared decision making psychological and spiritual support and alternative sites of care. Many factors will affect the dying experience for each individual some things that influence the end of life process include presence of disease illness or other medical condition type of healthcare he or she is receiving