A 52-Year-Old Man Diagnosed with Advanced Pancreatic Cancer Comes to the Oncologist

question 24

Multiple Choice

A 52-year-old man diagnosed with advanced pancreatic cancer comes to the oncologist for follow-up.  His cancer is unresectable, and he has been receiving palliative treatment for the past 3 months.  The patient has had multiple previous discussions about his prognosis.  He has lost 22.6 kg (50 lb) and now feels too weak to play with his children.  During the visit, he says, "I am a survivor and know I can beat this.  I'm going to do whatever I can to be around for my kids."  Which of the following is the most appropriate response to this patient at this time?

• A)"I think it's important for you to know that your symptoms will likely worsen, but we will make sure you are as comfortable as possible."
• B)"I'm glad you are able to maintain a positive attitude, but you and your family need to be prepared given your recent decline."
• C)"Let's hope for the best while also making sure we talk about important decisions for your care if things turn out differently."
• D)"You've been experiencing more weight loss and fatigue recently, and I want to make sure you understand the severity of that."
• E)"You've been handling the physical challenges of this illness well but seem to be overlooking the emotional aspects of it."

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Definitions:

Four-Wheel Drive

A vehicle drive system where power is distributed to all four wheels simultaneously, enhancing traction.

Liable in Tort

Legal responsibility arising from a civil case in which harm has been caused to an individual or property.

Intoxicated Person

An individual whose normal capacity to act or make decisions is significantly impaired due to the consumption of alcohol or drugs.

Mentally Ill

A broad term covering a range of mental health conditions that affect mood, thinking, and behavior.