I’ll say to the family do you mind just going in the other room so I can assess Mr so and so, because they greet you at the door say he’s in pain, he’s in pain and it’s very easy to have that autosuggestion and [then] you’re rushing and give them a big injection of diamorphine when actually he just needs a pee or something … [so] go and spend some time with the patient first and find out what’s going on, rather than just rushing and give an injection because the family are demanding on it, because I mean it is big pressure really and you’ve got to be confident enough to do that. (Specialist palliative care nurse, 23 February 2012)