Impressive insights into the experience of dying, offered by two hospice nurses with a gift for listening. The ""final gifts"" of the title are the comfort and enlightenment offered by the dying to those attending them, and in return, the peace and reassurance offered to the dying by those who hear their needs. Callanan and Kelley describe a phenomenon they term ""Nearing Death Awareness""--which resembles somewhat the near-death experience sometimes reported by individuals revived after being clinically dead. Nearing Death Awareness, however, develops slowly, and the dying person seemingly drifts for a time between two worlds. Attempts by the dying to communicate about this awareness, often expressed in symbolic language or gestures, may be misunderstood by those around them, who dismiss the expressions as mere ""confusion."" According to the authors, dying messages fall into two categories: descriptions of what they are experiencing (such as the places they see, the presence of others no longer alive, or their knowledge of when death will occur) and requests for what the dying need for a peaceful death (a reconciliation, for instance, or the removal of some barrier to departure). To illustrate, Callanan and Kelley include numerous examples of Nearing Death Awareness from their years of caring for the dying. And they offer practical advice not only to involved family members but also to professional caregivers on how to recognize, understand, and respond to a dying person's messages. No lugubriousness or false cheerfulness here, but acute observations and astute advice on a difficult topic.