I work on a med-surg floor and we get alot of sickle cell and other pain patients. At the begining of my shift I put my pain patients together. I write down what they can get, how much and how often. For my clock watching patients I pretend it is a schedule med. I explain to my patient that as long as we work together, we can both be happy. I write due times on the boards as reminders. I ask if they want to be awakend at night if they are due to prevent pain spikes overnight. I believe in keeping the patient happy. Who am I to say if they are truly in pain or just addicted. I also sympathize with them at times!