Nan, 84 stage 4 lung spread everywhere

Hi, my Nan got diagnosed on 03/04/24 with stage 4 lung cancer in both lungs spread to liver, pancreas abdomen and surrounds. She is 84 with copd and when we were at the hospital 2 weeks ago the oncologist told us she probably has weeks not months left. Questions are- she’s struggling with controlling the pain at the minute 2.5mg oral morphine every 4 hours, 50mg tramadol every 4 hours and paracetamol every 4 hours. Would you say she needs to get district nurses back to up dosage as last week they said they’d be back in 4 weeks but she seems to have deteriorated this week? 
she is struggling to eat anything, no more than half a slice of toast in a day? Is there any recommendations if we should be trying to get her to eat more? 
abd her feet have started to swell? 
she’s saying she doesn’t want the nurses out but should we be calling them? 
thanks in advance 

worried grandaughter here xx 

Parents
  • Hello Gem1234, and sorry for what your Grandmother and your family are going through.  To answer your questions, YES, definitely let the nurses know that your Grandmother is in pain, and they will be able to help, and your second question regarding the fact that she is hardly eating anything, this is perfectly normal for a person in the end stages of cancer.  Please don't try to force her to eat because this will only cause her more distress.  The reason she is not eating is because her body is starting to shut down and she simply doesn't need much food.  But I would say that you definitely need to let her nurses know about her deteriorating condition.  Take care, xx 

  • Hi Bluegirl thank you for your response. I will try get her to agree to us calling them just so we can get an update with them. We obviously as a family don’t want her in pain and I think she’s worrying that taking more means the end is closer but we can’t have her being in pain. We don’t want to loose her but know looking at the signs it’s closer than any of us want xx 

Reply
  • Hi Bluegirl thank you for your response. I will try get her to agree to us calling them just so we can get an update with them. We obviously as a family don’t want her in pain and I think she’s worrying that taking more means the end is closer but we can’t have her being in pain. We don’t want to loose her but know looking at the signs it’s closer than any of us want xx 

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