The authors’ findings that patient needs and treatment vary depending on the disease process of the patient who is dying is very necessary information for those of us involved in EOL care. The similarities found concerning the issues that are important to patients, no matter what their disease process, such as the importance of emotional support, communication, accessibility, and continuity, will help to guide our future EOL care. It was unfortunate that the authors found that the group of patients with COPD was dissatisfied with education about EOL care by their physicians, including advance care planning. These patients also thought that physicians did not understand their EOL medical care preferences. Tammelleo2 found that a quarter of all nurses who responded to his survey had seen clinicians purposely ignore patients’ wishes as stated in their advance directives, even when these wishes were understood. Therefore, it is of the utmost importance that all clinicians (ie, nurse practitioners, doctors, physicians’ assistants, and nurses) give special attention to this area of education and care; starting in primary care settings when patients are well, and including inpatient hospital care and hospice care.