Pain is the most frequently communicated complaint among elderly people. Di
scussion of the ethics of pain management in nursing home residents has not
appeared in the literature. The purpose of this article is to present an e
thically-based pain management action plan for elderly nursing home residen
ts. Nurses empowered with the latest information and cognizant and comforta
ble with their own views about pain are likely to effectuate a positive pat
ient outcome. Further research will add to the current knowledge base while
laying the groundwork for new interventions.