death Ppl talk care dying family support forget home loved great palliative life easier community taboo talking compassionate die hospice important point language Denial feel conversation understand future died discussions EoL experience hear helps process Reluctant scared resource positive person personal final focus familiar Engaging challenge things start unfamiliar unaware chat conversations avoidable brave forward open plan record question hospital live means mind nurse needed Lets illness humans key Kind involved Spaces practicalities patient placement heard families encouraging evening distress discussing draw achieve agree vital Words student Thinking treatment tree unable tolerate talked abandon break backbone coping cld describing Excellent Expectations professionals pts leading imagine makes narrative narratives natural move message news normalise mechanism idea hours learn inform proved refer space speaking rush relevant shows prof Possibly planning permanent patients paper decisions defy difference doctor District fighting changing battle believes ACTION admit asked aim supporting study suffering terminal understanding true