What matters at the end most?

When considering what matters most at the end of life, several key themes and priorities emerge from various perspectives:

Relationships and Loved Ones

One of the most significant factors is the importance of relationships and the people in one's life. As noted in the reflections of someone nearing the end of their life, what truly matters is the people around you and the relationships you have built. The love, support, and connections with family and friends are paramount1.

Comfort, Peace, and Spirituality

Research and experiences in palliative care highlight that comfort, feeling unburdened, existential peace, and a sense of wonderment and spirituality are crucial. People near the end of life often prioritize these aspects, which include physical comfort, emotional peace, and spiritual fulfillment34.

Quality of Life and Sensory Experiences

Focusing on the quality of life in the final stages is essential. This includes enjoying small pleasures and sensory experiences such as spending time at home, being with beloved pets, and appreciating favorite sights, sounds, and smells. These experiences can bring comfort, pleasure, and beauty even in the face of death34.

Regret and Closure

Avoiding regrets and achieving a sense of closure is also important. This can involve reflecting on one’s life, appreciating the good times, forgiving mistakes, and ensuring that affairs are in order. Writing letters to loved ones or leaving a legacy can also provide a sense of peace and completion34.

Living Well Until the End

The concept of living well for as long as possible is emphasized. This involves understanding what matters most to the individual and focusing care on those aspects. It is about making the most of the remaining time, rather than just preparing for death. Health and social care professionals play a critical role in supporting these conversations and ensuring care is centered around the patient's values and priorities2.

Dignity and Aesthetic Gratification

Maintaining dignity and experiencing aesthetic gratification through the senses is vital. This can be as simple as enjoying favorite activities, being in a comforting environment, or experiencing small pleasures that bring joy and fulfillment4.

In summary, what matters most at the end of life includes nurturing relationships, seeking comfort and peace, appreciating sensory experiences, avoiding regret, living well until the end, and maintaining dignity. These elements collectively contribute to a more fulfilling and meaningful conclusion to one's life.