Caring for a patient with inoperable hip fracture

Imtiaz, Arouba, Collins, Amelia, Rawlinson, Fiona and Johansen, Antony 2025. Caring for a patient with inoperable hip fracture. BMJ Supportive & Palliative Care 15 , pp. 618-619. 10.1136/spcare-2025-005440

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Abstract

Hip fractures pose significant challenges, particularly in managing severe incident pain in people who are not fit for surgery. We present the case of an older man with multiple comorbidities who was managed non-operatively. Standard opioids caused sedation with limited pain relief. Patient-controlled analgesia (PCA) with intravenous fentanyl provided effective, short-acting relief, allowing the patient to remain alert and engage in care. This case highlights PCA as a practical option for managing incident pain in selected palliative patients. [Abstract copyright: © Author(s) (or their employer(s)) 2025. No commercial re-use. See rights and permissions. Published by BMJ Group.]

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	BMJ Publishing Group
ISSN:	2045-435X
Date of Acceptance:	30 April 2025
Last Modified:	06 Nov 2025 16:11
URI:	https://orca.cardiff.ac.uk/id/eprint/179215

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