Nurses who had 3 years bachelor’s degree were allowed to participate in the survey than other nurses. Sample size: For this study, I focused on the sample of older people who are in pain. The average are; 95% are severely in pain which measured as 10cm VAS of 1.0-1.7cm, mean of 2 and SD of 1.8cm, in a total of 30 patients, the longer they can be admitted is 14days. The results: Results from the article is to suggest that nurse’s assessment, intervention, and education would be valuable in identifying those risks of having pain. The major barrier is to give adequate pain management. (N = 192) patients who participated in the study and also had a PRN medication were eligible for pre, post, and 3 month intervention. Some of the staff did not feel there was sufficient staff to provide quality care, therefore they were divided into control and intervention ward (85% & 71%). Barriers surrounding pain management that had physician influences included PRN pain medication orders (morphine, oxycodone, and acetaminophen) which they think is the best order or helped patients’ overall comfort level before they were