impede death (Cagle et al., 2015). Cagle, et. al, 2015., also found that a lack of family education regarding pain management, fears and stigmas further prevented effective pain management. PICO(T) Question Pain management is of vital importance to improve the quality of life for hospice patients. Therefore, it is the purpose of this paper to formulate a PICO(T) question to evaluate evidence to improve pain management for hospice patients. In adult patients with a terminal illness, does family education about morphine use during initial hospice admission compared with education during transition to active dying, improve pain management, quality of life and family anxiety during the last three months of life?

Morphine and Hospice 3 References Cagle, J. G., Zimmerman, S., Cohen, L. W., Porter, L. S., Hanson, L. C., & Reed, D. (2015). EMPOWER: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management, 49 (1), 1-12. doi:10.1016/j.jpainsymman.2014.05.007 Chi, N., Demiris, G., Pike, K. C., Washington, K., & Oliver, D. P. (2017). Pain management concerns from the hospice family caregivers' perspective. American Journal of Hospice and Palliative Medicine®,35 (4), 601-611. doi:10.1177/1049909117729477 Mayahara, M., Foreman, M. D., Wilbur, J., Paice, J. A., & Fogg, L. F. (2015). Effect of hospice nonprofessional caregiver barriers to pain management on adherence to analgesic administration recommendations and patient outcomes. Pain Management Nursing, 16 (3), 249-256. doi:10.1016/j.pmn.2014.07.001