In a forum made possible by an educational grant from Gaymar Industries, Inc., an interprofessional panel was convened to discuss the nature of Skin Changes At Life´s End (SCALE); the need to educate clinicians and the public on the social, legal and financial ramifications of this condition; and suggested research into the etiology, diagnosis and recommended pathways of care. The Consensus Panel identified an agenda for moving forward to build a consensus document, incorporating feedback internationally by hosting presentations at international conferences and by soliciting written comments from over fifty Distinguished Reviewers using a modified Delphi method. The work of the SCALE Panel can be viewed here, along with an Annotated Reference List: