We are faced with this issue alot in our LTC. Even a doctors order for Tylenol four times a day is disregarded because it's thought the patient doesn't show any signs of pain. So some say anyway. She is frail with huge ulcers to the bone. At least it would make turning and washing more tolerable. I don't get why people won't even give Tylenol. Isn't this the very least we can do to at ease her journey?????