Due to the inherent subjectivity of pain, assessment and treatment decisions can easily be influenced by bias and emotion. Evans (2000) makes the case that adhering to the principles of ethics (principlism) provides a very practical, unemotional way of making right decisions. Decisions, such as those involving pain management, can be made with thought, regard, and transparency for all involved (Evans, 2000). In making decisions about pain management, it may be helpful for nurses to ask themselves questions similar to the following