ABSTRACT
Patients are extemely sensitive to the attitudes of staff. They can sense fear and indifference, and they are able to perceive correctly that rejection might follow. The fear of abandonment is a very real concern of terminal patients. Attitudes of staff are based on feelings about the nature of their work; traditional feelings about death and dying that they bring into their work; and circumstances and atmosphere associated with their assigned duties. Among the most significant health care needs in society is the need for change in our attitudes toward terminal patients. Patients who have had the opportunity to ventilate and who receive support from staff have indicated that having someone to talk to was among the most helpful aspects of their care. People who are highly uncomfortable talking with terminal patients can find a million convenient reasons to leave. There are basic human prerequisites in working with terminal patients that are no different from working with any other patient.
