In our daily work as clinicians, we have all faced the moment when the patient no longer benefits from the therapy defined according to medical protocols and the patient's treatment plan must change from therapeutic to palliative or supportive. The medical progress of the chronically ill will inevitably lead to the patient's death. The way the patient and his family members will face death is directly related to the work of the physician and the medical staff and also to the explanation of the prognosis of the disease and the expectations from the therapy or medical equipment to help the therapy. As a function of this process, concepts (new or not) such as: actively dying, end of life care, terminal patient, which help in determining the stages of a chronic disease with an inevitable end, come to the aid of the physician and the staff. This text is not intended to serve as a guide, but aims to raise a debate that is missing in Albania regarding ethical, medical, practical aspects of the daily work of the clinician (internist) regarding patients in the terminal stage of the disease, the approach to death from both the doctor's point of view and that of the patient and his family members.