• Comfort goals and preferences
• Assessment and management of pain and other symptoms
• Signs and symptoms of approaching death
• Decision-making at the end of life
• Communications and relationships supporting patient and family-centered care at the end-of-life transition
• Grief, loss, and bereavement
• Hope and well being
• Complementary comfort therapies
• Spiritual and psychosocial needs
• Impact of dying (epidemiology, economics, service delivery systems, and resource utilization at end of life)
• Cultural, ethical, legal and quality of life concerns at this life-stage 

TNEEL content is presented in six modules (comfort, connections, ethics, grief, well being, impact) and addresses the AACN's "Competencies Necessary for Nurses to Provide High-Quality Care to Patients and Families During the Transition at the End of Life." Core concepts are threaded throughout the TNEEL content, including individual and cultural diversity, life span, family-centered care, collaboration, interdisciplinary care, setting of care, system of care, values and attitudes.

For more information, please go to the TNEEL website.