Setting: RPH Oncology ward
Patient: 56 yo Indigenous female
Dx with cervical cancer and admitted for radiotherapy
Prev R CVA 10 ago; treated at shents but discont Rx as missed family
NIDM, smokes 15/day, asthmatic, obese
lives 5hr from Perth
prev non amb (owns W/C), use of quad stick and AFO for STS and T/F with one assist
lives with 2 sons who have helped her since CVA
pt would cont say things like "dont bother me, bother someone else". "No u cannot play with my leg or arm". "They dont work leave em alone, physio cant do nothing".
The concern was that the pts prev mobility would decline due to cancer related fatigue, weakness from RIB etc. The pt was content to just lay in bed all day and do nothing. It was easy to see the contractures already forming in the affected hand.
There was limited time for me to devote to developing rapour with the pt, she was not a priority on the ward. Her English was slightly limited, edu her was difficult, functional reasons required. What would u do to speed things up and Rx this pt effectively?
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