My patient has pain maybe 3 times a week. He just gets prn meds like motrin or Tylenol. Mother said no more pain meds and that he is going to have to learn to live with the pain. He gets irritable,cries and grinds his teeth. After he takes his pain med it is obvious that he is feeling better. Mom says that these meds cause liver problems etc and therefore he will no longer be receiving them. I really love this child but I don't know if I want to watch him while he is pain and to not do anything about it. I think I need a new job. This mother has so many rules which change from week to week. I think maybe I need to think about getting out of private duty period. The thought of being allowed to make an actual nursing decision myself instead of having to get Mom's permission first sounds wonderful.