For Lay and professional communities throughout the world are struggling with bioethical and legal dilemmas brought about by the proliferation of medical technology . A heightened sense of self-determination and the decision making associated with the use of available technology, termination of life-prolonging treatment, patient – requested euthanasia, and assisted suicide have engendered bioethical and legal dilemmas in end-of life care. Although these dilemmas have different ramifications for people, patient's well-being. Can best be served when healthcare professionals are able to collaborate with each other, the patient, and to the family to set goals for patient care as the end of life approaches