Pain is neither objective nor seen or felt by anyone other than the person feeling it. Pain is subjective, so there is no way to distinguish whether someone is in pain or not and the only and best measure of pain is what the patient says. In settings such as end-of-life care, patients present with many different disease processes and are ultimately there because they have an average of six months to live. Alongside this stage of their lives, palliative care patients may experience a myriad of symptoms, which can cause these patients to experience enormous physical and psychological suffering (Creedon and O'Regan, 2010, p. [257]). For patients requiring palliative care, pain is the most disabling symptom and, in turn, unrelieved pain is the primary symptom most feared by these patients. So why hasn't pain management become the top priority in end-of-life care, when this area is experiencing extraordinary growth due to an increasingly aging population? Pain management is very important when dealing with palliative care patients. , considering that 55 to 95% of this patient population requires analgesia to relieve pain (Creedon & O'Regan, 2010, p. [257]). But what is considered pain management? And why does pain continue to be insufficiently treated? According to the article Chronic Non-Cancer Pain in Older Adults: Evidence for Prescribing, significant improvements have been made in recent decades in pain management in palliative care. However, it is universally recognized that pain globally remains undertreated for cultural, behavioral, educational, legal and systemic reasons (Creedon & O'Regan, 2010, p. ...... middle of the article .. ....reducing suffering. Works cited Creedon, R. and O'Regan, P. (2010). -264. B., Levy, MH and Paice, J. (2008). Pain management in advanced cancer in palliative care Clinical Journal of Oncology Nursing, 12(4), 575-581. Leming, MR. and Dickinson, GE. (2011). Understanding death, dying and bereavement (7th ed., pp. 197-201). .International Journal of Palliative Nursing, 18(9), 426-433.Meera, A. (2011).Pain and opioid dependence: is it a matter of concern. 36-8.: 10.4103/0973-1075.76240