A patient is preparing to be discharged to home with hospice. She is on a morphine ...

A patient is preparing to be discharged to home with hospice. She is on a morphine patient-controlled analgesia (PCA) in the hospital.
 
  She is concerned as to whether she can stay on her morphine PCA at home even when she is not able to give herself boluses. What would be the appropriate response of the clinician?
 
  a. We are unable to prescribe a PCA for use at home. If you are comfortable on the PCA you should remain in the hospital.
  b. It would be possible for your nurse or another trained family member to activate the dosing button when you are unable to do so.
  c. A PCA is not an appropriate method of pain medication delivery once you are unable to use the dosing button. I will switch you to another form of pain control.
  d. You should not be concerned about your pain management at home. It will be taken care of for you.