The elusive concept of a good" death has become a hot topic, inspired by the leave-takings of two great communicators, the Irish writer Nuala O'Faolain and the American computer science lecturer Randy Pausch. It is also the subject of a new book, The Art of Dying, a nod to the medieval texts Ars Moriendi that set out [advice] for dying. The authors, Dr Peter and Elizabeth Fenwick, argue that, obsessed with prolonging life, we have lost the habit of helping people to die a good death. "Hi-tech around the deathbed is sometimes more concerned with the feelgood factor of the relatives and the medical profession, who need to feel they have done everything they can, than with the peace and comfort of the dying," they say. We are very good at making sure that when people die they are as comfortable and pain-free as possible, they add, but not so good at catering for, and teaching others to care for, the spiritual needs of the dying. So it is time for those dying and those around them to think about where and how they want to die. "Our fear of death and love of life," say the Fenwicks, "mean that we seldom prepare either for death itself or the process of dying. So although all of us will die, hardly anyone is prepared to 'die right'?." By "right", they mean pain-free and in an untroubled frame of mind. A "good death", they say, is the death a person wanted - whether surrounded by family at home, in a hospice with professional carers, or even alone. But 67 per cent of people die in hospital among staff untrained and unequipped to answer their emotional, social and spiritual needs.