Interestingly, when patients are fully extended their right to autonomy, their pain is often better managed, and they report better satisfaction with their care. When patients perceive that they are understood, and can make their own decisions regarding pain control, they often do better. One example of this is the growing use of Patient Controlled Analgesia (PCA) for the treatment of acute pain in the hospital setting. When analgesics are adequately ordered and the pump is properly programmed for the individual, patients experience personal control over their pain and receive effective analgesia (Hudcova, McNicol, Quah, Lau, & Carr, 2005).