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PICOT Question: In adult and geriatric patients with terminal illness on hospice/palliative care service; does patient, family and healthcare staff education regarding the use of comfort medications when first admitted to hospice, compared to education at the time of transition to actively dying improve pain and symptom management, quality of life and apprehension of family and healthcare staff during the end of life?My chosen article identifies the barriers to effective pain control in hospice. This includes fear of addiction, cultural beliefs, fear of looking weak or drug seeking, as well as poor communication between patients, family/caregivers, and the health care team. The authors site existing evidence that shows the use of ongoing effective, realistic communication from the hospice team has a positive effect on family satisfaction with hospice care. One study is cited which names poor communication regarding pain