Opioid Titration in the Hospice Setting: Barriers Assessment and Modification of the Model Order Sheet and Protocol

Inclusion Criteria

• •Patient eligibility includes:
• •* Alive Hospice outpatient
• •* Diagnosis of carcinoma
• •* Pain requiring fixed dose opioids
• •* Age \> 21 years
• •* Not pregnant or lactating
• •* Willing and able to sign informed consent
• •* Able to speak/comprehend English
• •Caregiver eligibility will include:
• •Caregiver for an Alive Hospice patient
• •Willing and able to sign informed consent
• •Able to speak/comprehend English
• •Hospice Staff eligibility will include:
• •Currently on staff at Alive Hospice
• •Willing and able to sign informed consent
• •Able to read/speak English.
• •Referring Physician eligibility will include:
• •Having recently referred patients to Alive Hospice
• •Willing and able to sign informed consent and able to read/speak English.