End-of-life decisions that are made based on fear, lack of information, or misinformation, can have devastating consequences. After reviewing the ethical and emotional issues that often complicate end-of-life decision-making, this course provides approaches to overcome barriers, improve communication, and advocate for patient and family choices. The goal of this course is to equip nursing and social work professionals in hospice and palliative care with skills to support end-of-life decisions.