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As an Advanced Nurse Practitioner (ANP), you are working in an acute care setting.
Jason Tyler is a 65-year-old male admitted to the hospital with history of chronic cancer pain using Morphine SR 60 mg PO q8h. On admission, morphine 2 mg IV q4h was ordered. The patient reports his pain only went from a 9 to an 8 after the morphine dose and is asking for more pain medication. The staff begins to question the motivation of the patient and if addiction is present. The resident decides to start a PCA for his pain. In a few hours, the patient is comfortable, resting in bed.
What pieces of the holistic assessment are missing from this scenario: (Answer the following questions and provide your rationales)
1. As a healthcare provider, what else do you need to understand about this patient related to pain management?
2. In your response please provide the teaching you would provide to JT.
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