Jean Abbott is a professor emerita at the University of Colorado Anschutz Medical Campus in Aurora. Jeanne Kerwin is a consultant in bioethics and palliative care at Atlantic Health System, Morristown, NJ. Constance Holden is retired nursing director and current ethics consultation team and ethics committee member at Boulder Community Health, Boulder, CO. Margaret Pabst Battin is a medical ethicist and distinguished professor at the University of Utah in Salt Lake City. Charles Miller is a physician at Kaiser Permanente Hawaii. Thaddeus Mason Pope is a professor of law at Mitchell Hamline School of Law, St. Paul, MN. The authors acknowledge Thalia DeWolf, BSN, RN, CHPN, PHN, the hospice nurse who shared with us her patient dilemma and its consequences, triggering this ethical analysis. Contact author: Jean Abbott, [email protected]. The authors have disclosed no potential conflicts of interest, financial or otherwise.