Only those who are baptised and in danger of death by sickness (James 5, 14 et seq.), and in addition who have attained the use of reason (sent. certa) may receive Extreme Unction, since according to its purpose and its effect it is a completion of the Sacrament of Penance (consummativum poenitentiae: D 907) and for this reason like it presupposes the possibility of sin and hence the use of reason