Treatment of a Patient with Palliative Stage 4 Brain Cancer

Treatmentof a Patient with Palliative Stage 4 Brain Cancer


Tostart with, radiation therapy has a crucial role to play in thepalliative cancer treatment. The purpose of the palliative radiationtherapy is that the dose alleviates, relief suffering and alsorestore the function caused by cancer. Additionally, it improves thequality of life of the patient. In administering the palliativeradiation therapy, some basic principles are supposed to be put intoconsideration.

Inthe administration of the radiation therapy of the palliative braincancer, the patient is treated while they are in a horizontalposition, and usually they have a custom mask for immobilization.This is the appropriate position because of numerous factors. Forinstance, at this position there will be a little exposure of thepatient’s body to the radiation used to treat them. This positionensures that the radiation is only focused on the desired area. Also,they wear a custom-made mask for their protection from the rays thatmay be hazardous. In the course of treating this patient, theparallel lateral opposed fields are used with a gantry atapproximately 85 to 265 degrees. The field divisions are 3centimeters past the bony skeleton in the posterior, anterior margin,superior and the margin. Besides, they are amid C2 and C1 inferioredge near the vertebral body. The purpose of the custom blocks is toavoid rays getting to the facial structure, oral cavity, and the eye.It was also diagnosed that the patient had metastatic lacerationsfrom the non-small lung cancer cells around the base of the skullthus the inferior margin was stretched to the C2 vertebral body.Since she had a bad performance status, she is to be given a dose of300cGy was administered in 10 fractions. The administration of thisdose has some adverse effects on different patients and so care mustbe taken.


Thepatient was subjected to a daily dose of radiation. She was given adose of 300cGy on a daily basis for the ten days of treatment. Duringthe administration of this radiotherapy dose, there are some effectsthat the dose may have on the patient. Therefore, the patient has tobe taught about the skin care and also the nutrition. The patientdeveloped a skin reaction due to the radiotherapy. The patientcomplained that she felt the skin was sore when the treatment wasalmost half way. The doctors also prescribed for her to use the E45cream or the aqueous cream. Additionally, the patient also complainedof a change in appetite, and also a change in the taste of most ofthe foods she used to like. In this case, the patient was advised herto try eating little food by often. Further complaints from thepatient made me advise her to change her meals and replace them withthe high calorie, and nutritious drinks. This served a better purposefor the upkeep of the patient’s body while she was recovering fromthe cancer radiation therapy. Also, the patient complained oftiredness. The patient was enlightened to her that it was an outcomeof the therapy and that it would persist for several issues. She wasthen advised her to stick to her daily routine, but she should resttoo. Besides, the doctor also discussed with the patient regardingthe other side effects of the therapy that she might likelyexperience later. For instance, the patient was warned that she willexperience hair loss to some of the parts that were exposed to theradiation during the treatment. Although it will be a temporaryeffect, it is crucial that the patient was supposed to expect it.

Additionally,the patient had previously suffered of the metastatic adenocarcinomaof the lung therefore, it is important for screening to be done andalso the appropriate treatment to be administered.


Thepatient is supposed to be seen regularly and frequently during theleading three years after the treatment. It is also important thatthe patient should get screened and diagnosed for her nutritionalstate. Since the patient complained of the nutritional issues, shereceived an early intervention for the purpose of the nutritionalsupport. It is also important to monitor the health of the brain sothat any disorders noted can be dealt with at their younger stages.Additionally, this will help in the identification and the treatmentof the possible side effects of the radiation therapy. Lastly, thepatient is also scanned for any signs showing the return of the tumorso that it might be stopped before it spreads to the entire body.Typically, the follow-up plan is meant to ensure that the safety ofthe patient is guaranteed and that there will be no emergence ofanother tumor.

Inconclusion, palliative radiation therapy is likely to be beneficialto those patients that have advanced or metastatic cancer that causessignificant symptoms. Typically, this therapy is used to relief painin the management of brain metastases and other signs that lead tofocal symptoms from the local tumor development.