Mom is definitely winding down. Most days when I am helping her with meals she will keep rocking forward in her wheelchair, I believe she is trying to relieve pain in her back. I can't really give her a back rub because she can't lean forward more than an inch or two. I can't use voltaren for the same reason. She is on tylenol with the option of ibuprofen if needed (only when I ask, of course). When she was still at home we avoided opioids because of her slow transit bowel problems, I honestly don't know how well they are managing that in the NH. I just don't want her uncomfortable.... what kind of pain medication should I ask for?