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The article is a study of which factors affect the pain experienced by those with incurable and terminal diseases. The end of life involves many losses that are associated with pain and grief and can cause recurrent and existential crises. Grieving and psychological pain can be conflated with and exacerbate physical pain. Understanding the forms of grieving and their treatment is central to palliative care. The article introduces a pain model from pain researcher Bryn Davis, relates it to pain in the incurably ill and dying, and seeks to illustrate the relationship it plays in the individual's pain experience. The model can be used as a framework for systematic collection of data for the pain anamnesis or life history in practice. In addition, new research into grieving by Stroebe and Shut is incorporated and describes grieving as a dynamic and complex process that is in constant development and pendulates between repression and confrontation. It concludes by presenting hospice institutions' best-practice recommendations, Videnscenter (Knowledge Centre) for Palliation, PAVI's current work with palliation clinical guidelines and the National Board of Health's revisions of the Professional Guidelines for Palliation from 1999.

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