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Hi, Im Rob Fowler, Im a Critical Care and General Internal Medicine Physician at Sunnybrook Hospital, and over the next few minutes it will be my pleasure to walk through our policy at Sunnybrook Hospital that tries to help provide best care for patients, especially at the end of life. Weve had a lot of work on end of life and trying to improve our ability to deliver the best care for patients that are at that very tough point in their life, for many years. And its come together as a policy among the physicians and nurses, spiritual leaders and allied healthcare team over the last few years. At the end of life, having an appropriate care plan and one that respects their wishes and also respects the limitations of some of the treatements that we can provide is really important. We try to base all of our treatment decisions upon what the patient, and if theyre not able to communicate with us directly, their family members or their substitute decision makers are able to tell us abou