An Older Adult Receiving Hospice Care Has Dementia as a Result

An older adult receiving hospice care has dementia as a result of metastasis to the brain. The bone cancer has progressed to an advanced stage. Why might the client fail to request pain medication as needed?

A) Experiences less pain than in earlier stages of cancer
B) Cannot communicate the character of the pain effectively
C) Does not feel pain because of the dementia
D) Relies on caregiver to provide pain relief without asking