Helping Patients to Achieve What They Find Most Meaningful in Life.

Patients' and families' greatest need is often to do what for them is most meaningful. This may be, for example, their religion, their family, or their doing good for others. This piece will explore ways in which care providers may help maximize these ends. Paradigms offered will include Jehovah's Witness patients needing kidney transplants, a transgender adolescent wanting his sperm preserved, care providers' deciding whether to disclose that a deceased organ donor had HIV, and care providers seeking to do good for children profoundly impaired and adults who feel shame for just existing.