NEEDING Some HELP??

Duragesic 50mcg, lortab 10mg at HS (which she will not give up), Ibu 600mg BID, roxanol prn, cymbalta, and her daily b/p meds.
We did think about the lidoderm patch, but her oncologist warned us about the potential compliacations because of skin being so fragile, and potential issues if her skin breakdowns such as issues with flies/magets.. The family is aware of the possibility and does nto want anything on her skin except a spray this includes creams or lotions that would have to be rub in..

She is taking Roxanol 2-3 times, it seems to happen more when she trying to do any ADLS. HHA visit daily, and her family assist her but there are still somethings she tries to do herself, simply putting on her shoes. Its the basic things she says she has always taken for granted. Only reason I mentioned Lortab is that is something she is not willing to change, she knows it works and we will continue with it. I am not for changing things that work. Prior to her hospice admission She did have 1 small open area along her incision, that had a very strong odor, that the oncologist was treating with aquacel ag covered with characol dressing. At this time there is no open areas or dressing. Wasn't sure if anyone had any other ideas regading her pain, or continue with the roxanol. Because her arm seems to be the only main complaint of pain at this time. Hip/rib pain resolved. Or ideas for her edema - the swelling seems to be more of a bother to the patient. thanks for listen and apprecaite any new ideas