im-pli-ca-tion [ ìmpli káysh'n ] noun 1. indirect suggestion: something that is implied as a natural consequence of something else It is important to consider the wider implications of making such a decision Here is the meaning of the word implications from the dictionary. I believe what you need to do is to explain from both aspects: pain tolerance vs therapeutic procedures. A patient may refuse any type of pain relieving medications due to his/her religion, or just a refusal to have any type of foreign substance in their body. There are many reasons why a patient may refuse medication and the outcome or behavior of the patient will subsequently be different than that of the patient who receives medication to decrease pain. Basically just do some research on the reasoning for patient/nurse pain tolerance vs med beliefs, the negative vs positive outcome, and as a nurse how each case should be handled. Oh and Good Luck with your paper