SUMMARY. Some serious issues face the inexperienced nurse who has the responsibility for either providing the care or directing the care of symptomatic patients dying at home. Inexperience in such care, and lack of competent medical support, can result in the nurse perceiving "ethical dilemmas" in practices which are, in reality, part of good and ethical palliative care. [Article copies available from The Haworth Document Delivery Service: 1-800-342-9678. E-mail address: getinfo@ha worth, com]