Let's call death as death...let them know d truth...
I just told a 32 yr old lady that her husband is dying . Breaking bad news can be tricky. There is no fixed way of doing it. What works for one may not work for the other. I hv know the couple for over 5 yrs #PalliativeCare +
S was diag with adenocarcinoma of the lung with brain mets. He was referred to me for counselling. I made him sit on a chair and spoke to him for nearly 45min. "I can't die madam, I want to live for 30 more years. I hv to see my little girl grow up" he said. Thanks to the +
Advancement in treatment modalities fr lung ca , he could survive for 4yrs ,the TKI worked very well for over 3 yrs. Then he rapidly progressed. It was sad to see him deteriorate so quickly ( cancer 😞) . I have had numerous conversations with him+
Over the last 4 yrs - about life, about the disease, about symptoms he experienced, his fears....now he is delirious , is having memory blackouts ( doesn't recognise his wife at times) , PS 3.....his wife had to be told that her husband +
Is dying. As I was telling her about this all I said was ' u hv the right to know the truth '. She said '"yes madam, thank you". She cried n so did I ( it's tough to not feel ) ....I hv promised her that am there fr them +
N she can call me anytime even if it's at an odd hour. She felt reassured. I know there will be many questions in her mind that she will need answers to.....and I will be there to provide the ans ,as best as I can. +
We never ever should give up on our pts , even when they r dying. At EOL , the family affected by cancer needs CARE more than CURE. Never ever tell them that there isn't anything that can be done. There is always something that we +
Can do - if it's not cure, it's symptom relief, it's care, it's guiding them towards death , holding their hands in silence, giving them the space to express, be with them till the end n beyond.....be kind n compassionate....just be there so that they don't feel abandoned! +
Am sad...S should not hv to die. He is only 36yrs....it's unfair!!! With death he will be relieved of his sufferings....my thoughts are with his young wife n the 6 yr old child the hv. A long arduous road ahead for them.....:((

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More from @oceanblue11oct

Apr 15, 2021
I hd Covid n was admitted for 6 days. This picture will stay with me. For the ones reading this tweet- they are humans too! As a mental health professional I couldn't help but be there for them. Follow the thread .. #COVIDSecondWave #COVID19 #COVID
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