From a caregiver standpoint I absolutely agree Sky. The best care for a patient is when the family is "actively involved" unfortunately there are many families who are not and I think for the most part is the difficulty of seeing a loved one in such a way. I personally look at each patient situation as their own. The "family dynamics" are personal to each patient. My main focus for each one is that the situation is compassionate and dignified. And like you said I think it is very important for the family too knows you really do care about their loved one. My line of work is different then Losts but it sadly comes down too the mighty dollar in the medical community. I have left many jobs just because of that.