care dementia life point EOL great person important palliative planning advance Focus agree family ACP difficult excellent chat TALK paper loss defining lots Mum beginning deserves continuum phase talking years fear EOLC grief staff living Key guidance experience dying aware absolutely carers ongoing start starting support OPP plans plan lead advanced conversation diagnosis England families hve include home weeks wishes Continuity core communication anticipatory taking recognised resource share social relatives question stepdads involve loves page profile bereavement continuous determine days decisions hosp hours huge giving fab events document disease developing based case cancers practice poor NHS minute thinking range reached shared resources wld unnec valuable ppl public told Tommy specific stage survived talks joining journey lets live open aspects avoid Denial death choices dem documents discussions frm hear illness homes highs infection insight forward evidence feel effective discussed Chris capturing physical points issues interest model local love stages trajectory true