I have been an LVN for 12 years now, and before Dallas, TX hospitals went magnet status I was employed in that system. I have now been working LTC for 3 years, and the trend is disturbing. Not only are my patients on frequently scheduled narcotics, they "jones" for them. I have residents taking 2-3 narcotics q4hr scheduled, but asked for them constantly. No one bats and eye when I question it. It is seeking behavior. I have now been to 3 LTC, because of the crazy stress I have moved on to find something more normal, and less stressful. Is this the norm in LTC, or is this a mismanaged issue? I do not want to discount a pain issue, but the diagnosis of chronic pain seems really far spread.