In our world today there is unfortunately a high population of drug seeking patient which serves as a challenge for many nurses in meeting this quality measure. Many of them present with the history of drug abuse. This population of patient despite all a nurse may due to promote comfort, may continue to report a high pain level with the thinking that it will lead them to a stronger dose, or a more potent drug such as morphine or dilaudid. The nurse in this scenario must continue to remember that the patient pain is what the patient says that it is. Allowing the patient drug abuse history to have an impact on the way that the nurse manages the patient’s pain is unethical. The nurse must assess the area that the patient is reporting as painful, she must assess other patient behaviors such as sedation level and respiratory status because many drugs like morphine may cause respiratory depression. Reviewing the patient past pharmacological pain management is also vital, and highly helpful in making an informed decision to help the patient. Regardless of the obstacle the nurse must remember that the goal is to help the patient maintain a low level of pain despite the circumstances while assuring the patient