Do you ever wonder how to bring up end of life discussions without creating fear or loss of hope? What does an end of life discussion include and is it wider than creating a DNR? It is crucial to create an open atmosphere to discuss end of life beliefs, customs, and values, but how and when is this done and who can do it? This session will give you the ability to start a dialogue, set goals, and understand different resources that are available. We will discuss aspects of culture, religion, and psychology that require sensitive approaches. Every situation is unique and has its own dynamics, but in creating an open and relaxed atmosphere a plan of care for end of life needs and goals can be addressed and new definitions of hope can be explored.