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.
Exclusion Criteria:
- patients < 21 years of age
- pregnant or lactating
- patients, caregiver and or Hospice staff that does not speak/comprehend English