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being able to estimate when a patient has entered the terminal phase can be useful although often difficult to determine although having an estimation can be confronting for the patient and family the news can allow them to prepare and plan for the impending loss so having an estimate is important because it gives them the time and space to be able to attend to their emotional needs of dying but also attend to the practical things whether that be the paperwork of getting wills and houses and all those things in order whether it be getting family in from rural areas into state overseas all those things are very important for people to have that quality of life in the dying phases and having that estimate gives some time to prepare mentally emotionally and physically for that different diseases and conditions have different trajectories ing to the patients unique physical condition its common for patients to fluctuate in and out of the terminal phase for extended periods which can be d