shay, you know i strongly agree with you, but still feel it's a lost cause.
not only is the myth going strong and pervasive, the knowledge deficit is a forerunner as well as fear.
and keep in mind that depression/hopelessness is also r/t pain, and not only their terminal dx.
pts will often deny their pain for whatever reason, and nurse writes "denies pain" without doing an assessment...or, doing an assessment that says otherwise.
a while ago, this ltc facility wanted to have their own hospice within their facility, and i did the inservice.
had to do the inservice on pain, 3x...to no available.
i got feedback that not one pt, got the prn's available to them.
not one nurse felt it necessary, yet the notes told a completely different story.
we can yell til the cows come home, and very few will still believe it.
when i observe nurses looking the other way (STILL telling themselves that THEY won't be the one to kill the pt.), it is at that point i wish the pt to just die.
anything is better, than living in ignored and agonizing pain.
but i do appreciate your shout-out.