I talked to his doctor and his hospice nurse. Since he does take what is specially prescribed, they are both being very specific. He is now on MS Contin 45mg twice a day plus the Roxanol which he only takes if the pain becomes unbearable. Luckily the 45mg make that much less. His hopsice nurse just told him the max order for his conspitation is what he should take and hold if has loose stools.
She also got him talking so we found out he is scared that the pain will get much worse and the morphine will not help when the pain is at its worse or the doctor won't prescibe larger doses. He is used to being judged due to his past drinking and is fearful that they will think he is just after more drugs. We both tried reassuring him but I'm not sure we convinced him and I know where he is coming from. When he had a compression fracture of his spine and I finally got him to the hospital that was the emergency room doctors reaction. So this is really not an unfounded fear.

Question: would his high tolerence of alcohol in the past make higher doses of pain med necessary? I know it would if the tolereance was recent but it has been over a year.