Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part E Psychological, Social, and Spiritual Issues
Chapter 26. Adolescent Grief: “It Never Really Hit Me … Until It Actually Happened”
Grace H. Christ, DSW, Karolynn Siegel, PhD, Adolph E. Christ, MD, DrMSc
The Patient's Story, Perspectives, Conclusion, Methods to Update This Chapter, Resources, References, Chapter Glossary Terms
"Robert is a bright, engaging, forthright 14-year-old.
His brother is 8 years younger. His parents had been married a long
time and had a close circle of friends and family in their community. Robert
is healthy, a good student, and athletic, competing in a variety
of sports at school. When Robert was 7 years old, his mother was
diagnosed as having breast cancer metastatic to the liver. Mrs S
initially underwent a bilateral mastectomy followed by a regimen
of chemotherapy. She was disease free for 2 years. At recurrence,
she had an oophorectomy and received 2 chemoembolizations to the
liver for new hepatic lesions, followed with cycles of chemotherapy.
Three years after initial diagnosis, skull metastases were discovered.
A few months later Mrs S was treated for congestive heart failure
but continued chemotherapy...."
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