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Case Study: A 69-year-old male and his life-partner of 43 years have just moved to this area to live close to his partner's family. The patient was doing well at home until about 2 months ago, when he noticed shortness of breath on exertion. He thought it was related to anxiety and recent inactivity. His partner had suffered a fall around the same time, with a fracture of his hip requiring hospitalization.
One week ago, the patient fell on the left side of his chest, and since then, his pain and shortness of breath have continued to increase and are persistent with rest. He went to the ED and was diagnosed with pulmonary emboli with a left upper lobe infiltrate with bilateral hilar and mediastinal lymphadenopathy with moderate-size pleural effusions. The patient was admitted for further evaluation and was ultimately diagnosed with advanced stage metastatic non-small cell lung cancer. He was very frightened and angry when he was told about the biopsy results. The patient and his partner wanted to get all possible treatments done. They met with the oncologist to discuss the possible treatment options and were told "the patient has no treatment options available because of the advance stage of the disease."
Address the following prompts in your initial post:
Question: How would you approach discussing end-of-life care with the patient and his partner? What symptom management options can you order?
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