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Summary • End of life care often involves multiple providers, the client and caregivers • It is essential to consider all biopsychosocial needs with a focus on integrative care • “Stress” and distress will increase HPA-Axis activation, impair sleep and immunity and contribute to worsening of health and wellbeing of both the patient and caregivers. • Children will need different approaches depending on their developmental level. Learn more about your ad choices. Visit megaphone.fm/adchoices