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How to Talk to Your Parents About End of Life Wishes

How to start the conversation with ageing parents about their end of life wishes: openers, timing, topics in order, handling resistance and siblings.

|12 min read
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Picture a Sunday lunch. The plates are cleared, the television is murmuring in the next room, and a daughter in her forties has rehearsed one sentence all week: "Dad, have you ever thought about what you'd want if you got really ill?" She opens her mouth, her father starts talking about the cricket, and the moment slides past. She drives home with the sentence still unsaid. It happens again at Christmas, and again at his birthday.

Then one day there is a fall, a phone call from a hospital, and a doctor asking questions nobody in the family can answer. Would he want to be resuscitated? Does he have a lasting power of attorney? Where does he keep his bank details? The conversation that felt too awkward over lunch now has to happen in a corridor, without him.

Around 1,800 people die in the UK every day, part of the roughly 170,000 deaths a day you can watch on our live counter. Most of those deaths are not sudden. They come after months or years of declining health, which means most families have time to talk. Very few use it. This guide explains how to start the conversation with your parents, what to cover and in what order, what to do when they refuse, and how to write it all down so it actually helps.

Why so few families have this conversation

Surveys for the Dying Matters campaign have asked British adults about this for more than a decade, and the results are remarkably steady. Most people say they would be comfortable talking about death. Far fewer have done it.

SurveyFinding
ComRes for Dying Matters, 201227% had asked a family member about their end of life wishes
ComRes for Dying Matters, 201451% of people with a partner did not know their partner's end of life wishes
ComRes for Dying Matters, 2014Only 6% had written down their wishes about future care
Savanta for Hospice UK and Dying Matters, 201917% had asked a family member about their end of life wishes
Marie Curie public attitudes report, 202314% had talked to someone about their care wishes for the end of life

These surveys asked slightly different questions, so the numbers are not directly comparable. The pattern is not in doubt, though: only a minority of families ever talk about this, and fewer still put anything on paper.

The reasons are familiar. Adult children worry it sounds like they are waiting for an inheritance. Parents worry it means they are being written off. Everyone assumes there will be a better moment later. As we explore in the top regrets of the dying, "later" is the word people most often wish they had not relied on.

When to have the conversation

There is no perfect age, but there are better and worse moments. The worst moment is in a hospital, under pressure, when your parent may not be able to take part. The best moment is when everyone is well and nothing urgent is happening, because then it is a conversation about values, not a crisis.

Good momentsWhy they work
After a friend or relative has died or been illThe topic is already in the air and feels natural
When they retire or move houseThey are already thinking about the next stage of life
When you are writing or updating your own willYou can lead by example and make it mutual
After a TV programme, film or news story touches on itIt gives you a neutral way in
At a routine GP or hospital appointmentHealth is already the subject
On a long car journey or walkSide by side feels less intense than face to face
Moments to avoidWhy
Big family gatherings with an audiencePeople feel ambushed and defensive
Straight after a diagnosisGive them time to absorb the news first
When you are rushed or tiredIt needs time and patience
During an argument about something elseIt will feel like a weapon

Remember that one conversation is rarely enough. Think of it as a series of short chats over months, each covering a little more.

How to open the conversation

The first sentence is the hardest. It helps to have a few ready, and to choose one that matches your parent's personality. Some parents respond to practical framing, others to emotional honesty, and others to humour.

ApproachExample opener
Ask for advice"I'm sorting out my own will and I don't really know what I'm doing. How did you go about yours?"
Use a story"Did you hear what happened with Auntie Jean? The family had no idea what she wanted. I don't want that for us."
Make it about them helping you"If something happened, I'd want to get it right for you. Can you help me understand what you'd want?"
Use a form or planner"I found this planner that walks through everything. Shall we look at it together sometime?"
Be direct"This is awkward, but I'd rather talk now while it's easy than guess later when it's hard."
Use a medical prompt"The doctor mentioned a ReSPECT form. Do you know what you'd want on it?"

Asking for their advice is often the gentlest route. It puts your parent in the familiar role of the experienced one, and it makes the conversation about the family rather than about their death.

A printed planner can also take the pressure off. Instead of you asking a string of difficult questions, the document asks them, and you are just keeping each other company while you fill it in. That is exactly what our When I'm Gone planner was designed for.

What to cover, and in what order

Do not try to cover everything at once. Start with the topics that feel least morbid and most practical, then move gradually to the deeper ones. This order works for most families.

OrderTopicKey questions
1Where things areWhere are the important papers, the will, bank details, insurance, pension letters?
2Who to contactWho is their GP, solicitor, accountant, and closest friends?
3The willDo they have one? Is it up to date? Who are the executors?
4Lasting power of attorneyWho would make decisions if they could not? Is it registered?
5Care preferencesWould they prefer to stay at home, move in with family, or go into a care home?
6Medical treatmentAre there treatments they would refuse? Do they want resuscitation?
7Where they would want to dieHome, hospice, hospital?
8Funeral wishesBurial or cremation? Religious or not? Music, readings, flowers?
9Legacy and memoriesWhat do they want people to remember? Who should have special items?

The first four are practical and usually easier. They are also the ones with legal consequences. If your parent has no will, explain what happens if you die without a will in the UK: the intestacy rules may not match their wishes at all. If they have no lasting power of attorney, our guide to lasting power of attorney explains why it matters before capacity is lost, not after.

Medical wishes are where conversations often stall. It helps to know that there are formal ways to record them. An advance decision can legally refuse specific treatments, while an advance statement records wider preferences and values. Many areas of the UK now use a ReSPECT form, completed with a doctor, that records recommendations for emergency care.

Most people say they would like to die at home, but as we show in where do most people die, many die in hospital. Talking about it early is one of the few things that can close that gap.

Handling resistance

Some parents simply will not engage, at least not the first time. That is normal. Pushing harder usually makes it worse.

What your parent saysWhat it often meansWhat you can try
"I'm not planning on dying yet"It feels like you are writing them off"Nor am I. This is just in case, the same as my own will."
"It's all sorted, don't worry"They may have done it, or may be avoiding it"That's great. Could you just tell me where it all is?"
"You'll get everything anyway"They think it is about money"It's not the money. It's knowing what you'd want."
"I don't want to talk about it"Fear, grief or superstitionDrop it gently and try again in a few weeks
"Your brother will deal with it"They may have confided in one childAsk whether everyone could hear it together
"Just do whatever you think"They may feel overwhelmedOffer small choices: "Burial or cremation?"

Some practical tactics help:

  • Go small. If the whole subject is too much, ask one question. "Where do you keep your will?" is far easier than "Let's talk about your death."
  • Share your own plans first. It turns an interrogation into a two-way conversation.
  • Use a third party. A GP, a hospice nurse, a faith leader or a solicitor can sometimes raise it more easily than a child.
  • Write it instead. Some parents find a letter or a planner easier than speaking out loud.
  • Accept partial answers. Knowing where the papers are is a huge win, even if the funeral is never discussed.

If your parent has early dementia, the conversation becomes more urgent, because legal documents like a lasting power of attorney require mental capacity at the time they are signed. Our article on dementia deaths explains how common this has become.

Talking with siblings

Siblings can make this much easier or much harder. Disagreements over care and money are a common source of family conflict after a death, and many start because one child knew something the others did not.

SituationSuggestion
One sibling lives nearby and does most of the careAcknowledge it openly; they may need support, not instructions
One sibling refuses to discuss itKeep them informed in writing so they cannot later say they were left out
Siblings disagree about care optionsBring it back to what your parent has said they want
One sibling is the executor or attorneyExplain the role to the others so it is not seen as favouritism
You live abroadOffer to handle paperwork or research remotely

Where possible, talk to your siblings before you talk to your parents, so you are not surprising each other. If there are tensions, a family meeting with a neutral person present, such as a mediator or a trusted family friend, can help.

If your parent is choosing executors, our guide on how to choose an executor explains why picking one child over another can cause friction, and how to avoid it.

What to write down

A conversation that is not recorded is easily forgotten or disputed. After each talk, make a note of what was said and agree where the information will be kept.

What to recordWhere it should end up
Location of the will, deeds, insurance and pension papersA single folder or binder
Names of executors and attorneysThe will and registered LPA documents
Medical wishesAdvance decision, advance statement or ReSPECT form
Care preferencesShared with GP and family
Funeral wishesA written note, the will, or a pre-paid plan
Contacts and passwords guidanceSecurely stored, never in the will itself
Personal messages and memoriesA letter or a planner

Our guide on what to put in an emergency binder explains how to gather the practical papers in one place, and the end of life planning checklist breaks everything down into steps you can tick off together.

Some families find it easiest to fill in a planner side by side, a section at a time. The When I'm Gone planner covers documents, money, the home, funeral wishes and personal messages, so your parents can record everything in one document and you know exactly where to find it.

What happens if you never have the conversation

If the conversation never happens, the family is left to guess. That is not a disaster for everyone, but it does create risks.

Without a conversationWith one
Doctors may not know about treatment preferencesWishes are recorded and shared
Family may disagree about care homes or treatmentEveryone knows what was wanted
No LPA means a slow, expensive court applicationAttorneys can act quickly
Funeral choices are guessworkFamily follows a plan
Papers have to be hunted downExecutors know where to look
Grief is mixed with guilt and doubtFamilies report feeling more at peace

The point of the conversation is not to dwell on death. It is to make sure that when the time comes, your parents are treated the way they would want, and the people they leave behind can focus on grieving rather than guessing. Our article on what your family needs to know when you're gone covers the same ground from the other side of the table.

Where to get help

You do not have to do this alone.

  • Your parent's GP can talk through advance care planning and ReSPECT forms.
  • Hospice UK and Dying Matters publish free conversation guides.
  • Compassion in Dying offers free advance decision forms and a support line.
  • Age UK has guidance for older people and their families.
  • A solicitor can help with wills and lasting power of attorney.

If you would like to see how much time statistically remains for planning, the Death Clock gives a sobering but useful nudge.

A final thought

The daughter at Sunday lunch did not need a perfect speech. She needed one honest sentence and the patience to come back to it. Most parents, once the subject is open, are relieved. Many have been thinking about it for years and simply did not know how to raise it with their children either.

This article takes around twelve minutes to read. In that time, roughly 1,400 people around the world have died, and about 15 of them in the UK. You can watch the count rise on our live counter. Some of those families talked. Many did not. The next time the moment comes at your own kitchen table, let the sentence out.

Data sources: ComRes surveys for the Dying Matters Coalition (2012, 2014), Savanta survey for Hospice UK and Dying Matters (2019), Marie Curie public attitudes to death and dying report (2023), GOV.UK guidance on wills and lasting power of attorney. Global death estimates are based on WHO and UN World Population Prospects figures. This article is general information, not legal or medical advice. For decisions about a specific situation, speak to a solicitor, GP or other qualified professional.

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