Nurses who regularly work with people who are dying know that there is always a last dose, a last meal, a last word, a last breath. Although caring for dying patients and their loved ones offers nurses a chance to develop and provide sustaining memories at the most vulnerable times in people’s lives, many nurses are not equipped with the necessary skills to deal with dying and death. There are many purposeful actions that can be taken to help one feel more prepared to care for the dying and their loved ones. The patient whose life nurses are trying to save, even if futile, the one with all of the life-saving and life-preserving procedures, equipment, and medication, is perceived to be higher acuity than the patient who we have accepted is in his or her final hours or days transitioning from life to death.