American Nurses Association position statement on promotion of comfort and relief of pain in dying patients

Nurses should not hesitate to use full and effective doses of pain medication for the proper management of pain in the dying patient. The increasing titration of medication to achieve adequate symptom control, even at the expense of life, thus hastening death secondarily, is ethically justified.

Published by Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses, 1992. The guideline itself is at the source linked here.

doi.org/10.1097/00006527-199201210-00007