26th August 2024

You are reviewing a patient on the ward round in oncology. She has a background of metastatic breast cancer

You are reviewing a patient on the ward round in oncology. She has a background of metastatic breast cancer for palliative management and has recently been confirmed to have metastases in her spine which are causing cord compromise with paralysis of her legs. The neurosurgeons have reviewed the case and decided she is not a candidate for surgical intervention. She has been started on dexamethasone and opioid analgesia for severe pain. What additional steps should be taken as soon as possible?

Select the SINGLE most appropriate option from the list below. Select ONE option only.