NF is a rare condition and in reviewing the literature there is very limited, descriptive research on the areas of wound management, pain control, family support and ethical decision making when facing this diagnois. In this article, we present a case of NF in a premature infant, status post necrotizing enterocolitis (NEO), requiring surgical intervertion and extensive debridement of the abdomen. We provide a detaild discussion on the infant’s medical history, extensive nursing care measures undertaken to care for this infant, the unique wound care and pain management issues that developed and how to support the family through an uncertain, ethically challenging time.