The above may not constitute an exhaustive list of patients’ needs, but it is certainly a daunting one. Ley and Van Bommel (1994) commented that the hospice caregiver may have to become a surrogate family to the patient, for it takes a family to assist in fulfilling so many and diverse needs. Professional carers are the pillars of palliative care, that which was described, so poetically, by Ley and Van Bommel (1994) as “the paving of that final road whether it be made up of small bright pieces or large solid stones. The mosaic of palliative care provides the support and marks the way for all those of whom we care. You (the carers) are the cement—you are the glue that holds it together”(p. 69).