A 68-year-old woman with metastatic lung cancer and ECOG performance status 3 reports worsening pain and decreasing function. She wishes to stay at ho...

Question

A 68-year-old woman with metastatic lung cancer and ECOG performance status 3 reports worsening pain and decreasing function. She wishes to stay at home if possible. What is the most appropriate next step?

Accepted Answer

Refer to palliative care team for symptom management and goals-of-care discussion

Answer

Continue current chemotherapy despite poor performance status

Answer

Stop all analgesics to avoid dependence

Answer

Admit to ICU for aggressive care

Answer

Avoid discussing prognosis to preserve hope

ca-mccqe1 MCQ (SBA): Palliative care and goals of care

A 68-year-old woman with metastatic lung cancer and ECOG performance status 3 reports worsening pain and decreasing function. She wishes to stay at home if possible. What is the most appropriate next step?