The psychological challenge involves the need for security and the need for some sense that one is still in control. With life beginning to slip away, the psychological part of the being still has a natural need to feel it is anchored to life somehow. This part is inclined to worry about loose ends in life which need to be handled. Reassurance can be provided by family members and friends, providing relaxation and peace of mind which might not come otherwise.

The social needs relate to family and friendship connections, and the need to keep valued attachments. Quality of life is dependent upon the quality of relationships with others. Nurturing a loving connection with a dying person can be invaluable. Even when communication becomes difficult, loving touch, holding a hand or giving eye contact can be deeply meaningful. Hospice can help family and friends provide this. There is a need to know that one’s life has made a difference to others and that one will be remembered.