The appropriate limit or scope of investigation and treatment of the pallia
tive patient is an evolving and still controversial area. Major differences
of opinion persist. This case report highlights such differences. The ethi
cs of decision-making in palliative care are discussed and a series of prac
tical steps that may help in these dilemmas is briefly highlighted. J Pain
Symptom Manage 1999;18:67-71. (C) U.S. Cancer Pain Relief Committee, 1999.