Hope for a Miracle: Treatment Requests at the End of LifeBlackler, Liz LCSW-R, MBEJournal of Hospice & Palliative Nursing: April 2017 - Volume 19 - Issue 2 - p 115–119 doi: 10.1097/NJH.0000000000000322 Ethics Series Abstract Author Information Living with a life-threatening illness is challenging. It is not uncommon for patients and caregivers facing medical uncertainties to utilize religious coping as a tool to foster adjustment to changes along an illness trajectory. Religious coping can promote a sense of meaning, emotional well-being, and hope. This article explores requests for aggressive treatment stemming from strongly held religious beliefs and overarching hope for a miracle. A case example highlights the complexities of religious coping, belief in miracles, and requests for life-prolonging treatment at the end of life. The article closes with a discussion of the ethical considerations and strategies for best communicating with and caring for patients who request life-prolonging medical care in advanced illness. Liz Blackler, LCSW-R, MBE, is senior clinical social worker and clinical ethics consultant, Memorial Sloan Kettering, New York. Address correspondence to Liz Blackler, LCSW-R, MBE, Memorial Sloan Kettering, 1275 York Ave, New York, NY 10065 (firstname.lastname@example.org). The author has no conflicts of interest to disclose. © 2017 by The Hospice and Palliative Nurses Association.