In 1967, St Christopher's Hospice in England began providing complete medical team cooperative care for patients in the final stages of cancer, and counseling family members through the period of bereavement. Now the name Hospice is used in modern medical organizations as a general term for care for patients in the final stages of cancer, and as such has spread around the world. When the hospice care movement, with its roots in Christendom, reached the Oriental religious cultural sphere, Asian countries imported concepts and methods while adapting them to local cultural needs, developing terms and models suitable for each region's cultural background. For example, Buddhists in Japan use the ancient Sanskrit term "vihara" (resting place, monastery) in place of the word "hospice", with its roots in Christianity. Buddhist terminal care concepts are evident in their teaching to "comprehend the passing of all things, respect wishes, respect life." In addition, they emphasize Four Wholes: the whole person, the whole family, the whole course of the disease, the whole medical team. Usually, reference to caring for the whole person implies caring for the patient's body, mind, and spirit. Spiritual care originating in Christian concepts of body, mind, and spirit is based on the belief that aside from the body, there is a soul that transcends body and mind. If we combine Buddhism with this, we may promote a care of awareness, with Four Establishment of Mindfulness as reference for Buddhist Terminal Care. Buddhism passes both the concept of Materialism and the concept that the soul exists independently of body and mind;Buddhism teaches that the ego has no true existence (anatma), and idea of Conditioned Geneses (pratitya-samutpada). Using this covenant that nothing is eternal, nothing is separated, the patient may become acquainted with his own body, sense, mind, and dharma, so that awareness is sharp but settled. As to the terminal topic of life and death, neither life nor death, Buddhist care is founded on the Four Noble Truths: suffering (duhka), the accumulation of suffering (samudaya), extinguishing suffering (nirodha), and the cultivation to extinguish suffering (marga). In addition, experience shows that Buddhism's Four Immeasurable States of Mind--immeasurable mercy, immeasurable pity, immeasurable joy, and immeasurable relinquishing--definitely helps patients comprehend their experience.