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Evidence based guidelines on symptom control, psychosocial support, and bereavement are available to healthcare workers. In a clinical review, Ellershaw and Ward (p30) outline the elements of facilitating a good death. Many patients die undignified deaths with uncontrolled symptoms, but transferring best practices from palliative care to hospital settings is challenging. Empowering all healthcare workers, incorporating core education objectives in professional curriculums, and monitoring national indicators for care of dying patients are needed.