EOLC part 2: Oncological Emergencies with Merel and Caroline Philips

In end of life care we are mindful of respecting patient’s wishes, including those relating to conveyance to acute care settings. However there are some presentations, specifically in relation to cancer, which we need to be aware of and rapidly refer onto either acute or specialist colleagues. In this episode we explore these reversible oncological emergencies based on cases seen in Merel’s clinical experience as a Cancer Clinical Nurse Specialist in a specialist cancer centre in The Netherlands. We review Neutropenic Sepsis, Superior Vena Cava Obstruction, Metastatic Spinal Cord Compression and Hypercalcaemia. Further reading: -  AACE JRCALC Clinical Guidelines (2019) – End of Life Care -  NICE Guidelines - Metastatic spinal cord compression in adults: risk assessment, diagnosis and management -  NICE Guidelines - Neutropenic sepsis: prevention and management in people with cancer -  Oxford Handbook of Palliative Medicine (2019) We hope you enjoy the episode.