In 2022, Australia experienced a significant increase in deaths, with 68% occurring in those aged 75 or older. The 2024 ARIIA Conference addressed the growing need for improved end-of-life care. Facilitated by Professor Jennifer Tieman, our expert panel Dr Helena Williams, Dr Katrine Del Villar, Anne Livingstone and Kate Swetenham, highlighted challenges such as insufficient palliative care training, the role of Advance Care Directives, and the potential of new technologies.