{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:00:06Z","timestamp":1787882406859,"version":"build-2784847793"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>In Australia, high-dose sublingual buprenorphine and long-acting injectable buprenorphine are available. High-dose buprenorphine is used predominantly in the setting of opioid use disorder and has a role in chronic pain. Palliative care specialists are increasingly involved in pain management and end-of-life care for patients on these medications, yet there is a lack of education and training about high-dose buprenorphine for palliative care specialists. We describe our experience caring for John (fictional name), a gentleman with chronic pain and a new high-grade post-transplant lymphoproliferative disorder prescribed high-dose buprenorphine. We share the challenges and experience in caring for John as he deteriorated into the terminal phase and died of his illness. We include potential management options and the rationale for our decision to rotate John from high-dose sublingual buprenorphine to subcutaneous oxycodone. We conclude with practice implications and suggestions for improved patient care and clinician experience, including increased collaboration between palliative medicine, acute pain, and addiction medicine services, increased education and training for palliative care specialists about high-dose buprenorphine, and ultimately the development of consensus high-dose buprenorphine to oral morphine equivalence guidelines.<\/jats:p>","DOI":"10.1177\/23743735221079141","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T08:19:46Z","timestamp":1644567586000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Case Study of Pain Management  at End-of-Life for a Patient on  High-Dose Buprenorphine"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8326-1895","authenticated-orcid":false,"given":"Naomi T","family":"Katz","sequence":"first","affiliation":[{"name":"Alfred Health Palliative Care Service, Alfred Health, Prahran, VIC, Australia"},{"name":"Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia"},{"name":"Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4410-9804","authenticated-orcid":false,"given":"Martyn","family":"Lloyd-Jones","sequence":"additional","affiliation":[{"name":"Consultation and Liaison Addictions, Alfred Mental and Addiction Health, Alfred Health, Prahran, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Demediuk","sequence":"additional","affiliation":[{"name":"Alfred Health Palliative Care Service, Alfred Health, Prahran, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Alfred Health Palliative Care Service, Alfred Health, Prahran, VIC, Australia"},{"name":"Acute Pain Service, Alfred Health, Prahran, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"McKechnie","sequence":"additional","affiliation":[{"name":"Consultation and Liaison Addictions, Alfred Mental and Addiction Health, Alfred Health, Prahran, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Gold","sequence":"additional","affiliation":[{"name":"Alfred Health Palliative Care Service, Alfred Health, Prahran, VIC, Australia"},{"name":"Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"bibr1-23743735221079141","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000457"},{"key":"bibr2-23743735221079141","doi-asserted-by":"publisher","DOI":"10.2174\/1570159043359477"},{"issue":"12","key":"bibr3-23743735221079141","first-page":"29","volume":"2","author":"Welsh C","year":"2005","journal-title":"Psychiatry"},{"key":"bibr4-23743735221079141","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-07-19-4994"},{"key":"bibr5-23743735221079141","unstructured":"Eastern Metropolitan Region Palliative Care Consortium. 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