WE CANNOT help the terminally ill patient in a really meaningful way if we do not include his family. They play a significant role during the time of illness and their reactions will contribute a lot to the patient’s response to his illness. Serious illness and hospitalization of a husband, for example, may bring about relevant changes in the household which the wife has to get accustomed to. She may feel threatened by the loss of security and the end of her dependence on her husband. She will have to take on many chores previously done by him and will have to adjust her own schedule to the new, strange, and increased demands. She may suddenly have to get involved in business mat ters and their financial affairs, which she previously avoided doing.