Hawaii ranks 49th in the nation for use of home health care services during the last six months of someone's life. Videos from ACP Decisions show patients what their options are at the end of life. ACP Decisions hide caption

itoggle caption ACP Decisions

Sandra Lopez (left) and her dog, Coco, greet hospice nurse Heather Meyerend last fall. In the weeks before Lopez died, Meyerend stopped by weekly to check her physical health, pain levels and medications. Amy Pearl/WNYC hide caption

itoggle caption Amy Pearl/WNYC

Paula and Ron Faber walk their dog Millie in 2009, between cancer diagnoses. Shelley Seccombe/Shelley Seccombe hide caption

itoggle caption Shelley Seccombe/Shelley Seccombe

From her cubicle at Vital Decisions in Cherry Hill, N.J., Kate Schleicher counsels people who are seriously ill. Emma Lee/WHYY hide caption

itoggle caption Emma Lee/WHYY

Tammy Heinsohn (left) and Carolyn Wilson sing in the meditation room of Alive Hospice in Nashville. They're part of the Threshold Choir, which sings to the dying. Emily Siner/Nashville Public Radio hide caption

itoggle caption Emily Siner/Nashville Public Radio

Barbara Mancini with her father, Joseph Yourshaw. Barbara Mancini via Compassion & Choices hide caption

itoggle caption Barbara Mancini via Compassion & Choices

What seemed like a burden can become a gift. iStockphoto hide caption

itoggle caption iStockphoto

Dr. Martha Twaddle talks to a patient and strokes her hair during a visit at the Midwest Palliative and Hospice CareCenter in Skokie, Ill., in 2012. Antonia Perez/MCT /Landov hide caption

itoggle caption Antonia Perez/MCT /Landov

Joe Takach comforts his friend Lillian Landry, as she spends her last days in the hospice wing of a hospital in Oakland Park, Fla., in 2009. J. Pat Carter/AP hide caption

itoggle caption J. Pat Carter/AP