Mom is now having trouble swallowing her pain medication (Vicadin). The tumor growing down her throat is getting large enough to impede her ability to swallow any pills. Making it worse is that any liquids she drinks to wash down the pills comes out of her left nostril (significant amount). I am sure this is adding to her frustration when attempting to swallow the meds.
Spoke to the nurse today. She will order mom a liguid form of Vicodin. Increasing the health care visits to 2 hours per day during the week.