Community health centers face many challenges to providing patients with optimal end- of-life care. Primary care is typically fragmented from specialty, palliative and hospice care. This break in the continuity of care as patients approach death can be alienating, stressful and painful for patients, family members, caregivers and providers. Patients often have difficulty getting their own wishes met as they get swept up in high tech acute care medicine. Given the inevitability of death, and the fact that most people die after the age of 65, End of Life Decisions: Given the unique needs and choices of individual patients, it is important.
