“…For example, in the months after a new diagnosis, these stressors include negotiating changes in occu- pational and family roles, interference with future life plans, and managing household and childcare responsibilities. [15][16][17][18] For couples dealing with advanced disease, cancer causes additional life stresses, such as declining functional abilities that bring about the necessity for couples to discuss how care and assistance with daily activities will be provided to the ill partner. 19,20 Couples also typically negotiate difficult choices regarding end-of-life treatments and care, cope with anticipatory grief regarding the loss of one's partner, manage child and family reactions, and talk about the ill partner's legacy in psychologic and practical matters.…”