Inclusion criteria (patient)  prior enrollment of their hospice nurse receives analgesics for pain speaks and reads English age 18 or older has a primary informal caregiver who is available for the 2 weeks of the study expected survival of at least 2 weeks can verbalize pain.  Inclusion criteria (caregiver)  speaks and reads English age 18 or older cares for an enrolled patient available for the 2 weeks of the study.  Inclusion criteria (nurses participating in the RTC)  registered nurse (RN) provides direct care to patients has not had a prior patient enrolled in the study