Expect that they will cut back or omit pain medication if they feel comfortable. Fear of addiction or a dislike of taking medication may underlie this action. When the pain comes back, it creates a vicious circle. I keep telling my clients to take their medication on a regular basis to keep a regular level in their systems, as we do not expect the pain to go away. I tell them it has been shown that people don't get addicted if they are taking narcotics for pain.
Clients also discontinue medication because of intolerable side effects such as constipation.
I anticipate these side effects and tell my clients to take laxatives when narcotics are started- not when constipation becomes a problem. Some people need to be reassured that other distressing symptoms such as nausea and vomiting, shortness of breath, sore throat or mouth, edema or any other changes in condition will be looked after. I assure my clients that we will work together as a team and notify the doctor if distressing symptoms arise. I also introduce alternative therapies to help relieve pain and anxiety. Therapeutic touch, aromatherapy, music therapy and meditation can be effective and I encourage people to do what they are comfortable with.