I am fortunate to work in Neuro ICU. I love my job. I love to be in a position to help patients and their families when they are most vulnerable. During my nursing career, which has spanned almost twenty years mainly in critical care, I have also had the good fortune to work as a Hospice nurse for exactly one year. That was eight years ago, but the experience I gained from that has helped me to give meaningful care to those entering into End of Life. The passing of a loved one is probably the most painful experience a family member will endure in their lifetime. I know this to be true because I have been that family member in the past, hence the decision to become a nurse in the first place. The patient, a fifty-one-year-old woman vacationing with her husband on the beaches in Florida. They had been getting ready to go out for dinner on the second night of their stay when the patient started throwing up and became unresponsive. The husband called 911 and she was taken to the hospital nearer to the beaches. They did a CT scan and found there was a massive bleed in the brain. She was rushed to our ER where she was seen by our eminent Neurosurgeon and Neurologist. The prognosis was grim. They were told there was nothing they could do. Many of the family members came yesterday from all over. The last one was to arrive around 1700. The family had decided to withdraw life-sustaining measures after the last person, her daughter, got to spend time with the patient. All the paperwork was signed and on the chart. The daughter signed right away when she arrived. While I was in change of shift report, the husband came out and said they were ready. I agreed, at his request, to stay after my shift and be the nurse at the bedside during the extubation. I called RT to extubate, the order was on the chart, and went to the Pyxis to pull the meds ordered by the physician. I gave 1mg of Ativan and 2mg of morphine as ordered. The RT pulled out the tube. All was good until the patient started snoring, a loud neurological snore. The husband became upset and yelled at me. I went to ask for an increase in the dose and fortunately, the night shift House Officer had just come on duty and told me to make it 4mg every hour instead of 2mg. I pulled another 2mg of morphine and when I got back to the room, the daughter who had just come, verbally abused me. I tried to explain to the family that the patient was in no distress and unaware that she was snoring. The husband yelled at me "Are you stupid! Look at her. This is murder!" He kept yelling as I left the room to ask the House Officer to go in there and talk to the family. The night shift RN went in. By this time it was getting later and I still had to chart the last couple of events. Then the kicker, the night shift charge nurse came to me to tell me the family complained to her that they were very upset because they were told it would be a smooth transition with no distress, and she believed them!! This after I had comforted them all day and went out of my way to see to their every need. There was no distress to the patient. There is always distress when a young person dies. She was brain dead from the ER.