Terminal Cancer - Palliative Care

Terminal Cancer - Palliative Care Essay example
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Terminal Cancer – Palliative Care Clinical Description The patient is a 67-year old Caucasian woman with a history of breast cancer. She first presented with breast cancer eight years ago, which successfully went into remissions after a round of radiotherapy.


The current symptoms of the patient vary from day-to-day. The metastasis to the bone means that the client has progressive pain which is generally worsening. The liver metastasis has caused a loss of appetite, nausea and occasional bouts of very severe abdominal pain. The patient also has a chronic cough which is thought to originate from lung metastases, and will occasionally complain of chest pain. This has been confirmed by an abnormal chest X-ray. Overall, the patient has expressed dissatisfaction and at times feels unable to enjoy life, with an overall feeling of ‘sadness’. The patient also claims to have difficulty remembering some things, which is a common symptom of terminal cancers in general (Karabulu et al, 2010). Pain as a Symptom One of the most distressing symptoms for the patient, as with many terminal cancer clients, is the pain and the anxiety which comes from fear of increasing amounts of pain. Pain management is important in terminal cancer, but is not always effective. Hemming & Maher (2005) examined the management of pain and the difficulties which arise. The article highlights the fact that terminal cancer patients often have pain coming from many areas of the body, as seen in our case study above. Bone and nerve pain arising from metastases may be causing extreme pain, which is more difficult to treat. ...
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