Palliative Care and the Hospice Movement meet many of the challenges nursing homes are currently faced with. There are different approaches dependent on the rules and culture of the national health care systems. The reviewed literature shows that Palliative Care in Nursing Homes lacks quality, especially in the care given to residents with dementia. Apart from that, a palliative culture in the organizations has to be developed. In this paper, central issues and topics for further research to improve Palliative Care in Nursing Homes are presented.