RESUMO
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.
Assuntos
Analgesia Controlada pelo Paciente , Serviços de Assistência Domiciliar , Cuidados Paliativos , Humanos , Cuidados Paliativos/métodos , Analgesia Controlada pelo Paciente/métodos , Dor Irruptiva/tratamento farmacológico , Masculino , Feminino , Idoso , Manejo da Dor/métodos , Analgésicos Opioides/administração & dosagemRESUMO
Lower severe edema is a common condition faced by advanced cancer patients with an impact on comfort, quality of life, and care planning. Diuresis and mechanical interventions are the mainstream options for the treatment of edema, but, although effective, may not be indicated for frail, bed-bound, and dependent patients cared for in the community setting.We present a case report of a young female with severe edema to her right lower limb, which accepted controlled subcutaneous fluid drainage at her home. Subcutaneous fluid drainage at home was effective, safe, and feasible and improved the patient's comfort and well-being.