Subcutaneous Patient-Controlled Analgesia in Home-Based Palliative Care: " It's as Straightforward as Pushing a Button, Right at my Fingertips"

J Pain Palliat Care Pharmacother. 2024 Jun;38(2):143-148. doi: 10.1080/15360288.2024.2320404. Epub 2024 Feb 26.

Abstract

Subcutaneous patient-controlled analgesia (SCPCA) in home-based palliative care is a potentially valuable option for providing effective pain relief to some patients, particularly when conventional analgesic approaches prove ineffective or are refused. Our case report illustrates the use of SPCA for the management of breakthrough pain in a patient receiving palliative care at home with no improvement after multiple previous treatments. SCPCA was found to be safe and successful. Future research is essential to explore its precise role, appropriate indications, prescription guidelines, and safety considerations across various palliative care contexts.

Keywords: Subcutaneous patient-controlled analgesia; case report; home-based palliative care; pain.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesia, Patient-Controlled* / methods
  • Analgesics, Opioid / administration & dosage
  • Breakthrough Pain / drug therapy
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Pain Management / methods
  • Palliative Care* / methods

Substances

  • Analgesics, Opioid