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Should feeding tubes, nutrition, and life support continue during this time prolonging their agony or should patients be able to face end of life in peace and dignity. Since the 1950’s death at home changed and patient were brought to the hospital to die with medical assisted devices. According to End of Life Nursing Solutions for Death with Dignity “A major barrier to high quality end of life care is the confusion about end of life care despite the fact that most deaths today result from longstanding chronic disease” (Tilden &Thompson, 2009). There are many issues legal and ethical facing end of life care with the right to die. Having advance directives make some issues simple. Advance directives are legal documentation on how one wish to die and can be made ahead of time. The number one issue in legal/ethical aspect of end of life care is terminal sedation. Terminal sedation or palliative sedation is deep, continuous sedation for the relief of pain and suffering during end of life care. Other issues were resuscitation, mechanical ventilation, nutrition/hydration, antibiotics, and dialysis. Nurses have an ethical obligation to provide care to patients during their end of life care including pain management, comfort, and support to their love ones. Patients can die peacefully and with dignity without tubes, pain, and mechanical