Speech-language pathologists (SLP) who treat patients with dysphagia may at some point work with persons who are dying. The purpose of this article is to provide a legal and ethical framework for the participation of the SLP in the care of persons at the end of life. The skills of the SLP can be critical to enhancing the dying experience of patients by preparing them to deal with symptoms of dysphagia and by maintaining or facilitating their communication abilities to meet functional needs in the final stages of life.