Early this year we had a patient that had a two week stay at St. Mary's. Sarah and I traded this patient back and forth for a majority of those 2 weeks. The patient was admitted with pancreatic cancer and her prognosis was poor. Taking care of a patient who is actively dying is not easy. As a day shift nurse, Sarah showed compassion, attention, and support to the patient and her family. Every morning and afternoon, while giving and getting bedside shift report to Sarah, I got to see firsthand how much Sarah was respected by this family. Sarah went in the room and talked with the patient about what her goals were that day. For the patient it was weaning her oxygen down from her 15 L high flow nasal cannula underneath her 100% non rebreather. Sarah developed a plan to help the patient meet her goals. Sarah showed her knowledge in dealing with respiratory distress urging the patient to regularly use her incentive spirometeter. Sarah designated one of the patient's family members as the one responsible for making sure she did it 10 times every hour on the hour. This helped get the family involved in the patient's care and keep it family-centered. Sarah was quick to notice changes in the patient's leg swelling and lung sounds and notified the doctor that the patient needed IV lasix. When the doctors came in and discontinued the patient's pain medication Sarah was on top of it and did her best advocating for Katherine to ensure her pain was well controlled. When the doctors were treating the patient's AND status as a comfort measures status, Sarah advocated for the patient to ensure that her comfort was met but also to ensure that all possible treatments were explored. Sarah took the time from her day to educate the patient and her family about the different options, what comfort measures meant, what palliative care meant, and what hospice meant. Sarah was never too busy to go into her room to spend time with her, hold her hand, and offer a prayer and hug to the family. The patient had a very large family and in our small 4W rooms Sarah made it possible to get all the family into the room providing as many chairs that would fit to make sure she was surrounded by her loved ones. Coming in on night shift all I heard was positive things about Sarah and the great care she provided. The patient's condition started to decline and was transferred to 6E. We didn't know if her goals to make it home with hospice would come true. One day after a meeting Sarah and I went up to see her. We walked into the room and the patient's eyes lit up. She was so excited to see Sarah. Her appetite was very poor and Sarah offered to make her favorite snack -- a strawberry ensure smoothie. She drank all of it and the patient's daughter said it was the first time she had eaten since being on 6E. The 6E nurses offered to make the patient the smoothie but she would only drink it for Sarah. Sarah and I stayed with her for about an hour that day, Sarah holding her hand the whole time and she was pain free that whole visit. Sarah visited her the next 2 days on 6E before the patient was discharged home with hospice. Sarah formed professional and personal relationships with the patient and the daughter. Sarah was so involved with her care and well-being that she exchanged phone numbers with the daughter in order to stay up to date on how she did at home. Unfortunately the patient passed away in the comfort of her home surrounded by loved ones. Sarah was notified by the daughter and sent her regrets to the family. Seeing the relationship that Sarah made with this patient and family is evidence of the compassion and love Sarah had for this patient and the amount of trust and respect this family had for Sarah.