I am caring for an aging parent at the end of life from terminal small cell lung cancer. At diagnosis, it was already Stage 4 and treatment was rejected. This was several months ago. I have two other siblings who know nothing of this diagnosis or the fact that death is near. One lives out of state and talks to our parent mostly on holidays and birthdays. The other sibling lives a couple hours away, but due to family estrangement they don't speak. When the diagnosis was given, I was told that I am in no way shape or form to say anything to anyone. Not to family, not to neighbors, etc. I respected that wish and asked a few times throughout this process if that was still the case. My parent had full mental capacity throughout and quite frankly, I see it that is was not my business to tell and I am sure there were reasons for that decision. However, I am going to have to make these difficult phone calls when they did not even know that there was a terminal illness. How would you approach this? It is a very bad burden to have to carry.