Introduction: As said by Haruki Murakami “Death is not the opposite of life, but a part of it.” Death is inevitable for every human. Each year, 25.7 million people are in the last year of their life. End-of-life care is provided in the time leading up to a person's death. It can be defined in the hours, days, or months before a person dies and encompasses not only the physical symptom relief but also includes managing the mental and emotional distress of a dying person. Lack of effort and willingness to accept and implement appropriate intervention alongside the process of death and dying has often led to appalling quality of care in the last few weeks or months of a patient’s life, extreme financial burdens, and lasting psychological issues for caregivers

Objectives: The purpose of this study is twofold: (1) to describe or observe the quality of end-of-life care in a tertiary cancer institute from the perspective of hospital nurses, and (2) to evaluate or observe differences in early palliative integration and late integration. 

Design: Observational Cohort study design.

Methods: Patients in the actively dying stage and with established futility of treatments in various wards of the hospital are identified. Data was collected about their preference for the place of death, time of palliative consult, etc. After death within 48 hours, an assessment of the quality of care at the time of dying is done by the Quality of End-of-Life Care (QEOLC) – Nurse Specific (Validated by University of Washington School of Medicine) questionnaire. It is administered to the primary nurse giving the end-of-life care and present at the time of dying. 

Results: The study is ongoing. Results are awaited.

Conclusion: The study is ongoing. Conclusions are awaited.