During a 90-minute discussion, the team asked the family what they hoped we could accomplish for their mother and grandmother. The son asked, “Can't you do something about her pain?” The team reviewed the hospital course and clarified her diagnoses, prognosis, and what to expect in the future with her family. Sources of her escalating discomfort and pain were identified, and the benefits and potential risks of opioid analgesics discussed. The son asked for a trial of opioids, and his request was relayed to the attending physician, who agreed with the plan as long as the palliative care team took responsibility for prescribing and managing the opioid analgesic regimen, as he was not comfortable doing so. A treatment plan was initiated that included low doses of concentrated liquid morphine for the pain (5 mg every 6 hours via gastrostomy tube around the clock) with preprocedure dosing of an additional 5 mg 30 minutes before each dressing change. Antibiotics were discontinued because she had demonstrated no improvement after 6 weeks of broad spectrum treatment. Fevers were managed with acetaminophen. Within 12 hours her mental status was improved enough that she recognized and smiled at her son and tolerated her dressing changes without evident distress or agitation.1 Two days later the patient moved back to her original nursing home for continuing palliative and wound care from a hospice team, who managed her complex and twice-daily wound care and her pain management. Calls to the family after discharge revealed that the patient was comfortable and more interactive than she had been in months. After she died months later, the family wrote to our CEO and called to express gratitude to the palliative care team for the comfort and peace that she experienced during the last few months of her life.