IntroductionMany people are afraid of making decisions about their wishes when they die. This includes fear of making a will and making critical decisions that affect the lives of others in their absence. When patients are terminally ill, they become incapable of making these decisions and are often aided or directed by outside forces in making these decisions. This article explores the options and conditions of different terminally ill patients with a close look at their mental and health status. He will also explore 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 the patient's health to the point of no return. They also cause a lot of pain to the patient. When these patients' health deteriorates, their ability to make informed decisions is compromised. Poor health leads to a deficiency of minerals that aid in thinking, a condition that significantly reduces decision-making ability. The mental state of terminally ill patients has less ability to make sound decisions compared to a normal person. When a patient is diagnosed with a terminal illness, their mental state changes and, in many cases, patients have a negative opinion of themselves. This compromises their abilities to manage normal activities, including decision-making. Their reaction is sometimes such that it provokes protests from the parties concerned. Some patients have gone as far as suicide while others act to harm their loved ones. This leaves the patient with little opportunity to make the right decision, as their decisions are negatively biased. A terminal...... middle of paper ...... rights of the people. It includes advance health care directives, health care surrogates, life extension procedures and the case of anatomical donations. It has all possible outcomes in case a patient decides to pursue any of the above options. Conclusion It is important for patients and their family members to understand the conditions under which the patient is suffering. 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 designating a health care proxy to decide on behalf of the patient (Groopman and Hartzband, 2011). Medical personnel must consider patients' wishes and act in accordance with the law when deciding end-of-life options. Most decisions made by terminally ill patients are biased and compromised.