The Church continues Christ's healing ministry in the Sacrament of Anointing of the Sick. St. James describes its celebration in apostolic times: "Is anyone among you sick? He should summon the presbyters [priests] of the church, and they should pray over him and anoint [him] with oil in the name of the Lord, and the prayer of faith will save the sick person, and the Lord will raise him up. If he has committed any sins, he will be forgiven" (Jas 5:14-15).
The Rite of Anointing tells us there is no need to wait until a person is at the point of death to receive the Sacrament. A careful judgment about the serious nature of the illness is sufficient. The Sacrament may be repeated if the sick person recovers after the anointing but becomes ill once again, or if, during the same illness, the person's condition becomes more serious. A person should be anointed before surgery when a dangerous illness is the reason for the intervention (cf. Rite of Anointing, Introduction, nos. 8-10).
Only bishops and priests may be ministers of the Sacrament of the Anointing of the Sick. A penitential rite followed by the Liturgy of the Word opens the celebration. Scripture awakens the faith of the sick and family members and friends to pray to Christ for the strength of His Holy Spirit. The priest lays his hands on the head of the sick person. He then processed to anoint, with the blessed Oil of the Sick, the forehead and hands of the sick person (in the Roman Rite). He accompanies these acts with the words "Through this holy anointing may the Lord in his love and mercy help you with the grace of the Holy Spirit. May the Lord who frees you from sin save you and raise you up" (CCC, no. 1513).
When the Sacrament of Anointing of the Sick is given, the hoped-for effect is that, if it be God's will, the person be physically healed of illness. But even if there is no physical healing, the primary effect of the Sacrament is a spiritual healing by which the sick person receives the Holy Spirit's gift of peace and courage to deal with the difficulties that accompany serious illness or the frailty of old age. The Holy Spirit renews our faith in God and helps us withstand the temptations of the Evil One to be discouraged and despairing in the face of suffering and death. Also, a sick person's sins are forgiven if he or she was not able to go to Confession prior to the celebration of the Sacrament of the Anointing of the Sick.
Another effect of this Sacrament is union with the Passion of Christ. By uniting ourselves more closely with the sufferings of Our Lord, we receive the grace of sharing in the saving work of Christ. In this way, our suffering, joined to the Cross of Christ, contributes to building up the People of God.
This Sacrament also prepares us for our final journey when we depart from this life. The Anointing of the Sick completes our identification with Jesus Christ that was begun at our Baptism. Its grace and power fortify us in our final struggles before we go to the Father's house.
For some, there is nothing more frustrating than being sick. Sickness runs from annoying inconvenience - like a headache or a common cold - to grave, life-threatening cases involving major surgery or incurable disease. In each case, sickness reminds us of our limitations.
Our reaction to infirmity is to seek alleviation. With a perfect understanding of the human person, Christ has provided the Church from its beginning with a spiritual as well as a corporeal remedy for our illness. We are not just flesh and bone. We are spirit, mind and body.
In a very real sense, the Sacrament of the Anointing of the Sick has a very important community dimension. In any illness, particularly one as we near the end of our lives, we should never have to stand alone. We should not have to face infirmity without the consolation of others.
-taken from the United States Catholic Catechism for Adults