Background: In Sweden, approximately 90,000 persons die annually and 80 per cents of these needs palliative care. Many of these patients needs help from the municipal home care. To adjust care from curative to palliative, the doctor need to have an end-of-life discussion. The municipal home care nurse has a significant role in combining these discussions and to plan further care.

Aim: The aim of the study was to explore nurses' experiences in end-of-life discussion in elderly palliative patients.

Method: Eight qualitative interviews were conducted. Qualitative content analysis was used to analyze the text.

Results: The analyze resulted in three themes: Responsibility to initiate an end-of-life discussion,participation at end-of-life discussion and structures for continued care after end-of-life discus-sion.

Conclusion: In the end-of-life discussion, the nurse has a prominent role, but it is not emphasized in the national guidelines. The nurse experiences a big responsibility to initiate the end-of-life discussion but she also experiences participation when she works like a mediator between patients and other professions. By preparing structures to facilitate the continued care after the end-of-life discussion the nurse feels a manageability.