Diagnosing and treating bone metastases

There can be little that is more distressing for a nurse to witness than the anguish and despair of patients and their relatives caused by unrelieved pain. In spite of increasing doses of morphine, some patients remain in pain. Why is this and, as nurses, what can we do about it? It is the nurse who spends time with the patients and relatives, both at home and in hospital. We are, therefore, in the front line, supporting patients and assessing their needs.