Zadeh RS, et al. - Authors performed this review to organize and analyze the existing evidence related to environmental design factors that improve the quality of life and total well-being of people involved in end-of-life care and to clarify directions for future research. Findings revealed several critical components of the physical environment that could reduce total suffering and improve quality of life for end-of-life patients, their families, and their caregivers. They suggested considering these factors while making design decisions for care facilities to improve physical, psychological, social, and spiritual needs at end of life.