not knowing specifically what her order is, it sounds it needs to be amended to an opioid that is longer acting and/or, increased.
if pt is missing sleep to ensure she gets her next dose, something is off and needs attention.
as a nurse, i would definitely consult with the dr., as no one wants to see disturbed sleep patterns.
when you become a nurse, you will use your nsg judgment in determining when to give a med or not.
vitals that are wnl, are indicative that it is ok to give...despite slurring and gait disturbances.
if your hospital has it, requesting a pain consult would be ideal.
please try not to judge those you deem as seekers.
many times, these pts are scared to death of any pain returning, and so, they want their meds to stay ahead of it.
sounds perfectly reasonable to me.
if the pt isn't on an antispasmodic, perhaps that can be suggested as a means of improving her outcome.
bottom line, as a nurse, you need to look at the big picture in supporting your pts needs.
more often than not, there is nothing black and white about nsg.