The midnight nurse and I had a debate the other night, not a fight, a debate. She came from an intensive care unit recently and I think she still has the acute care mentality, she thinks I am too layed back about this... We have a patient who is end of life. He hasn't eaten anything except bites here and there since admit 6 days ago. On morphine sulfate 5 mg Q6 hours around the clock. No BM in that time. He is absolutely going to die within the next 48-72 hours. She wanted to start a bowel prep on him. His belly isn't distended, still soft with +sounds X 4 quads. Already had a dose 2 days ago of MOM and a rectal suppository of Dulcolax the night before. The nurse who gave it told me she didn't feel anything when she put it in. I say it is awful to give a person something that makes them poop constantly the whole day they are trying to die. She has done this before, given people R/S at night and checked for impactions then they spend the whole day and afternoon of the day they die being incontinent. Am I crazy? or is she?