I am soon to be an RN graduate in two months. In my studies and clinical rotations, I have found the issue of pain management to be extremely frustrating. We are taught to be advocates for the patient. So how are we being an advocate for a patient that is obviously rating their pain as excrutiating while they appear to be fine, and medicating them with large doses of narcotics and so on? It seems contrary to being an advocate when we know that these narcs are addicting, and possibly could be ruining this person more than it is helping. I'm no expert in the field of psychology or even medicine at this time, but I don't understand what my role really is when it comes down to this issue. Any of you well seasoned nurses have a thought for me?