Ethical issues arising at the end of life constitute some of the most distressing dilemmas that individuals, families, friends, and health care providers will face. Topics discussed in this module include capacity and incapacity, withholding and withdrawing treatment, concerns arising from the use of high dosage pain medications, and identifying appropriate goals of care. Optional topics include access to palliative care, demands for non-beneficial treatment, use of personal directives and living wills, resource allocation, providing nutrition and hydration, defining death, and euthanasia/assisted suicide.