IntroductionMany people are afraid to make decisions regarding their wishes when they die. This includes the fear of making a will and making critical decisions that affect the lives of others when they are not present. When patients are terminally ill, they become unable to make these decisions and are often assisted or directed by some external forces in making these decisions. This article takes advantage of the options and conditions of several terminally ill patients with a careful look at their mental and health status. It will also screen patients with DNR (Do Not Resuscitate) orders and advance directives. Health and Mental Status of Terminally Ill Patients Terminal illnesses such as cancer, HIV, Ebola hemorrhagic fever, and Lesch-Nyhan syndrome deteriorate a patient's health to the point of no return. They also cause a lot of pain to the patient. As these patients' health worsens, their ability to make good decisions is compromised. Poor health leads to a deficiency of minerals that help you think, a condition that greatly reduces your ability to make decisions. The mental state of terminally ill patients has a lower ability to make good decisions than a normal person. When a patient is diagnosed with a terminal illness, the mental state changes and in many cases patients think negatively about themselves. This impairs their ability to manage normal activities, including decision making. Sometimes they react in a way that provokes protest from interested parties. Some patients have gone so far as to commit suicide while others act to harm their loved ones. This leaves the patient with little chance of making the right decision as their decisions are negatively influenced. A terminal... middle of paper... evil rights. It includes advance health care directives, surrogate health care, life-prolonging procedures, and the case of anatomical donations. It has all the possible outcomes in case a patient decides to pursue any of the above options. Conclusion It is important for patients and family members to understand the conditions the patient is suffering from. People have an obligation to prepare for the end of life. This can be done by writing a will or advance directive to guide medical staff and family members on what the patient wants. This can also be done by assigning a medical care proxy to decide on behalf of patients (Groopman and Hartzband, 2011). Medical staff must consider patients' wishes and act within the law when deciding on end-of-life options. Most decisions made by terminally ill patients are partial and compromised.