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Decreasing mortality trends, increasing longevity, and the rise of the hospital system allowed the funeral industry to take root, and flourish, in american society. End of life communication includes both verbal and nonverbal messages that transpire following a diagnosis of a terminal illness and death. The circumstances that occur at the end of life create. Increasing diversity in the primary diagnoses of decedents, increases in multimorbidity and illness complexity among people with. The goals of care in this phase focus on quality, not life prolongation, since.