Extreme Unction 
  There follows the Sacrament of Extreme  Unction, or anointing, as it is popularly designated. Here the clergyman  may find himself confronted with prejudices which in spite of  reiterated explanations seem to have an extraordinary vitality.  His  announcement that he purposes to anoint the sick person is often  accepted by the patient and his friends as the reading of the  death-warrant.  It is necessary to point out that the Sacrament of  Extreme Unction gives health not only to the spirit, but also sometimes  to the body. The basis for the teaching is of course to be found in the  well-known utterance of James (v, 14, 15): "Is any man sick among you?   Let him bring in the elders of the church, and let them pray over him,  anointing him with oil in the name of the Lord. And the prayer of faith  shall save the sick man; and the Lord shall raise him up; and if he be  in sins they shall be forgiven him." 
Anciently it was the custom to confer this sacrament  before the Viaticum; the maintenance of the existing usage has been  prescribed not only by the Roman Ritual, but also the Lutheran, and many  other denominations as well. Although the existence of a precept to  receive this sacrament cannot be established, still the failure to avail  oneself of its efficacy out of sheer sloth would be a sin. It cannot be  administered more than once during the same illness, unless, after some  notable betterment which has either certainly or probably taken place, a  new danger should supervene. In chronic diseases, therefore, such as  tuberculosis and different cancers that sometimes go into remission but  then reoccur, it will often happen that the anointing sacrament may and  ought to be repeated because of the recurrence of what is, morally  speaking, a new danger. 
According to the discipline in vogue in the Latin  Church, the unctions essential to the validity of the sacrament are  those of the organs of the five senses--the eyes, ears, nostrils, mouth,  and hands. There is a diversity in the custom as to the unctions to be  added to those already enumerated; in the United States, besides the  parts mentioned, only the feet are anointed. 
The sick-room ought to be made ready for the visit of  the priest or minister on the occasion of his giving the last blessing,  and or sacrament, it can at least be cleaned and aired. On a table  covered with a white cloth there ought to be a lighted blessed candle, a  crucifix, a glass of water, a spoon, a vessel containing holy water,  and a towel. According to the rubric of the Roman Ritual the priest is  to remind those who are present to pray for the sick person during the  anointing, and it suggests that the Seven Penitential Psalms with the  litanies might be employed, or the 23rd Psalm for this  purpose. 
Extreme unction, like other sacraments, produces  sanctifying grace in the spirit. It has, however, certain results proper  to itself. Of these the principal one seems to be the getting rid of  that spiritual torpor and weakness which are the baneful output of  actual sin, and which would be such a serious handicap in this supreme  moment. From the viewpoint of the Christian, the struggle to be  maintained with the devil is now more formidable than ever, and a  special endowment of heaven-sent strength is necessary for the soul's  final victory. ********************