I find this image to be very emotive. It very tenderly conveys the feeling that this man has reached the end of his journey through life. It could be viewed as invasive at such a personal time but I think the photographer has captured the moment with compassion and respect. As a viewer, one can weave all sorts of stories that could be about the people in the picture, but the image conveys all that I need to know. The more I look at the image the more I see, the hands supporting the lady, the old lady's left hand on the bed rail, her kissing his closed eyes and much more.
It's technically a good photograph, using a diagonal feel to draw you through and showing just enough of the medical stuff to give it "place". For me it's an excellent image and one that I feel richly deserves first place.