{
  "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.",
  "authors": [
    {
      "affiliations": [
        "Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK"
      ],
      "name": "Arouba Imtiaz"
    },
    {
      "affiliations": [
        "Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK"
      ],
      "name": "Amelia Collins"
    },
    {
      "affiliations": [
        "City Hospice, Ty Hosbis, Whitchurch Hospital, Cardiff, UK",
        "School of Medicine, Cardiff University, Cardiff, UK"
      ],
      "name": "Fiona Rawlinson"
    },
    {
      "affiliations": [
        "Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK",
        "School of Medicine, Cardiff University, Cardiff, UK"
      ],
      "name": "Antony Johansen"
    }
  ],
  "title": "Caring for a Patient with Inoperable Hip Fracture",
  "uid": "149d91b6-5a44-5a0e-9321-e246fcc6963c"
}