She’s developed, rapidly developing grade four pressure sores everywhere, we’ve done safe guarding and everything else, she’s not on any analgesic but if you ask her she says she’s not in pain. So did a pain assessment day before, did one again yesterday and our GP was on holiday until today so trying to speak to another GP its sort of, ‘I want something for pain relief but she won’t take anything orally because she’s refusing all medication’, ‘well if she says not in pain from your pain assessment then I can’t prescribe something’, ‘yes but looking at her, she is in pain but she’s one of these people that sort of keeps quiet’, so it’s more about, I suppose people trusting you (Care Home Manager).