Telling patients that they have only months to live can be distressing for the healthcare provider, the patient and the patient’s family. But in a recently published article of Palliative and Supportive Care, Jennifer Currin-McCulloch and Barbara Jones suggest that, when framed in the proper context, hope can thrive in conversations about a patient’s terminal prognosis. Patients can set goals for themselves that are shor-term, realistic and attainable, all of which can prompt them to gain a sense of certainty about their illness, control and hope as they prepare for the future.