Reports and studies of near-death experiences, death-bed communications, after-death communications and a host of other transpersonal experiences occurring near death are creating a new paradigm challenging our exclusive biological and psychological understanding of death and near-death. Care provided to those near death or dying is an evolving process. Before Dr. Elisabeth Kubler-Ross"s book, On Death & Dying, was published in 1969, rarely were dying patients or patients with cancer told of their diagnosis. Kubler-Ross"s descriptions of patient experiences created a paradigm shift in the care of dying patients and their loved ones that included a better understanding of their psychological needs. A decade later the Uniform Brain Death Act was passed to establish criteria for determining biological death needed because of advances in life support technology. We know now occurrences near death or dying involve more than biology and psychology. There is a transpersonal component...