venty-year-old Mr. Angelos has a rare liver cancer. He is
widowed and lives with his daughter and her family. The
chemotherapy that he has been receiving has left him so weak and
uncomfortable that he spends most of his time heavily medicated,
lying on the sofa or sleeping in bed. During today’s office visit,
the oncologist informs Mr. Angelos and his daughter that the
chemotherapy is not controlling the cancer; it is rapidly
metastasizing. He recommends that home hospice care be initiated.
Before Mr. Angelos can respond, his daughter abruptly ends the
visit, stating, “We don’t have to discuss this now. Let us think
about this.” She then motions her father to leave with her. While
in the outer office preparing to leave, the daughter shares with
the nurse that she “can’t understand where that doctor is coming
from, basically giving up on my father.” Mr. Angelos interjects
that he thinks the doctor is right, but his daughter cuts him off,
stating, “Dad, you are going to beat this thing. It just takes time
for chemo to work. And, there are other treatments we can try.”
THINK CRITICALLY:
venty-year-old Mr. Angelos has a rare liver cancer. He is widowed and lives with his daughter and her family. The chemot
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