Hi Diana! I think we have been in a course together before but I’m not sure. Anyhow, it is good to be here with you. I also work with hospice patients and have experienced the same fear in families that you share about. Families I have been with, usually come around to accepting the need for the pain medicine realizing that at this stage in a person’s life, they will not get addicted as they are dying. Families need the reassurance that we are not ‘killing’ or ‘overdosing’ the patient but our intention is to keep them comfortable. Sometimes, it’s a fine line!