Mr. Anthony, a 70-year-old retired policeman has been complaining of persistent cough and constant fatigue for the past 1 year. Recently he has not been eating well and lost 10 kg within 3 months.
CT scan revealed he has non-small cell lung carcinoma in right & left lung and it is inoperable. He has been diagnosed with Stage 3 Lung and esophagus cancer.
Anthony divorced his wife 20 years ago and staying alone in his 3-room flat. He depends on his monthly pension fees to support his living. Anthony was referred to the Palliative care team for further management.
PAST MEDICAL/SURGICAL HISTORY & MEDICATION:
- Tuberculosis
- DM Type II
- Hypertension
- Hyperlipidemia
- Arthritis
- PVD
- Poor vision
- Medication: Metformin 500mg BD; Losartan 50mg OM; Simvastatin 10mg ON; Calcium with Vitamin D 1-tab BD
FAMILY HISTORY:
- Father died of tuberculosis
- Mother aged 100, taken care of by his brother
SOCIAL HISTORY:
- Smoker of 30 years
- Social drinker
- Does not like to exercise
- Retired
- Divorced
- Only have 2 closer neighbors, aged 72
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