Advancing disease

22 Advancing disease



Case update


It is 8 months since Michelle received her last treatment and was discharged from the oncology ward. After resting for 2 months, Michelle returned to her role as a doctors’ receptionist for 5 hours per week. Returning to work is important to Michelle, especially being able to get dressed and put on her make-up. Her hair has grown back and Michelle has had it restyled – her family and friends think it looks ‘fab’. Michelle has felt continuously tired and has put this down to returning to work and ‘dealing with the diagnosis’. She has visited her GP several times who has monitored her recovery.


Michelle has been feeling increasingly unwell over the last 4 weeks and is getting quite distressed at home. This is mainly due to nausea and vomiting, tiredness and not feeling rested after sleep, with increasing abdominal pain, back pain and reduced mobility. Michelle has been in bed for 6 days and feels too unwell for Simon to take her in the car to visit her GP, so he does a home visit. She feels too tired to help with the children’s homework and is very tearful.


Her GP recognises the deterioration in Michelle’s condition and arranges for her to be admitted to the local medical admission unit for urgent assessment and management of her symptoms. He starts her on morphine 10   mg as required to help her feel more comfortable while waiting for the admission. Michelle appears relieved at this decision to be admitted and is taken to hospital by ambulance on that same day. The only other medication Michelle has been taking is a hormone relating to her breast cancer treatment.


Simon is very tired and feeling frustrated that he doesn’t seem to be able to help her distress. The children are getting to school late and Simon has not been to work for the last week.





Feb 25, 2017 | Posted by in NURSING | Comments Off on Advancing disease

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