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This article presents a case study regarding the treatment of pruritus caused by cholestasis with opioid antagonists. The patient in the case study had mild cholestasis caused by hepatic metastases. Pruritus and pain was caused by liver involvement by tumor. With increasing clinical experience, it may be possible to substantially shorten the duration of naloxone infusion, in order to initiate oral naltrexone therapy in cholestatic patients. To determine how applicable the approach outlined in a hospital daycare setting may be in a patient who is receiving palliative care and is also dependent on opiate agonist therapy for the relief of pain, further clinical experience is necessary.

Presents a case study which focused on the discontinuation of cardiovascular medications at the end of the life of an 83-year-old woman with congestive heart failure. Relationship of aging with the increase of the prevalence of hyperlipidemia; Benefits of lipid-lowering therapy; Burdens associated with lipid-lowering therapy.

Presents a case study of an aged Vietnamese man diagnosed with deep vein thromboembolism. Medical background of the patient; Clinical manifestations of deep vein thromboembolism; Influence of culture on clinical management.

Discusses the role of case discussions in palliative medicine. Effects of a case discussion on medical issues; Opportunities for case authors; Benefits of case studies for palliative medicine fellows and junior faculty.