A 65-Year-Old Man from the Dominican Republic Has Been Admitted

A 65-year-old man from the Dominican Republic has been admitted to the hospital for surgery. He has multiple myeloma and a pathologic right humerus fracture. The operation went off without a hitch. Following that, the patient is aware and focused, but grimaces regularly and seems uneasy. He is given pain relief but respectfully rejects. When asked if he is in agony, the patient says, "It hurts a lot, but I can handle it and don't want to be a burden." Which of the following is the most suitable medical response?

A) "If you are sure you don't want pain medication, we will honor your request."
B) "I'm concerned that you feel like a burden.  Have you had feelings of low self-esteem lately?"
C) "It's not necessary to bear the pain.  Medication will help you feel better."
D) "Pain following surgery can be very severe.  My goal is to help you be more comfortable."
E) "Speaking to our pain medicine care team can help you feel more comfortable about pain treatment."