What element is missing from the communication circle in the figure? 
Definitions:
Terminal Decline
The rapid decline in cognitive and physical functioning observed in individuals shortly before death.
Cognitive Functioning
Mental processes that include thinking, learning, memory, problem-solving, and decision-making.
Impending Death
The condition of being near the end of one's life, often due to terminal illness or old age.
Elisabeth Kübler-Ross
A Swiss-American psychiatrist known for her pioneering work on death and dying, specifically her theory on the five stages of grief.
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