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Nursing Palliative Care Mr. Anthony, a 70-year-old retired policeman has been complaining of persistent cough and constant fatigue for the past 1 year. Recently he has not been eating well and lost 10 kg within 3 months. CT scan revealed he has non-small cell lung carcinoma in right & left lung and it is inop

Nursing Palliative Care

Mr. Anthony, a 70-year-old retired policeman has been complaining of persistent cough and constant fatigue for the past 1 year. Recently he has not been eating well and lost 10 kg within 3 months.

CT scan revealed he has non-small cell lung carcinoma in right & left lung and it is inoperable. He has been diagnosed with Stage 3 Lung and esophagus cancer.

Anthony divorced his wife 20 years ago and staying alone in his 3-room flat.  He depends on his monthly pension fees to support his living. Anthony was referred to the Palliative care team for further management.

PAST MEDICAL/SURGICAL HISTORY & MEDICATION:

  • Tuberculosis
  • DM Type II
  • Hypertension
  • Hyperlipidemia
  • Arthritis
  • PVD
  • Poor vision
  • Medication: Metformin 500mg BD; Losartan 50mg OM; Simvastatin 10mg ON; Calcium with Vitamin D 1-tab BD

FAMILY HISTORY:

  • Father died of tuberculosis
  • Mother aged 100, taken care of by his brother

SOCIAL HISTORY:

  • Smoker of 30 years
  • Social drinker
  • Does not like to exercise
  • Retired
  • Divorced
  • Only have 2 closer neighbors, aged 72
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