CPC SIG 9:30 am on October 5, 2020
Tags: adverse drug reaction, soft tissue sarcoma

Teenager with soft tissue sarcoma with multiple adverse drug reactions

Greetings everyone! After a brief hiatus, we are pleased to share another case for discussion.

For this month’s discussion, Dr Grace Ng from Singapore shares a case about her team’s journey with caring for a teenage patient with soft-tissue sarcoma, and the patient’s struggles with multiple adverse drug reactions.

If you have trouble accessing Youtube videos, you can download the Powerpoint Presentation Show to listen to the presentation here.

Click on the button to downloadTeenager with soft tissue sarcoma-presentation

We encourage everyone to tune in and share your thoughts. Click here to leave a comment at the bottom of the page!

pohhengc 11:15 pm on October 5, 2020

Thank you Grace for sharing another interesting case with us.
While susceptibility to adverse effects between different opioids can vary due to genetic reasons, it is unusual to have patients experience reactions to different formulations of the same drug! The only reason I could think of is psychological, given the age of this patient, where many interesting phenomena are observed in clinical practice.
The management of teenagers with life threatening illness is a whole new art in itself. I am still learning lots from emerging research published on this special population of cancer patients. They grapple with so many challenges all at once. No wonder they are often preoccupied and silent…
I often resort to using non-pharmacological strategies wherever possible as this returns the teenager or young adult the control that they lost.
Most of all, what they appreciate is that we trust and listen to them. In this case you did exactly that and allowed her to pick her own treatment!

Poh Heng

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Chandima 1:02 am on October 6, 2020

Thank you Dr. Grace for sharing your experience. I have very little knowledge in paediatric palliative care.
I feel, active listening with empathetic discussions along with cognitive behavioral therapy and relaxation techniques would help in these kind of situations. Anticipated nausea and vomiting may be treated with prophylaxis antiemetics and more with reassurance.
The emotional stability of the family may help further with the situation.
Thank you.

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Bi-monthly case discussion blog

for APHN Children Palliative Care Special Interest Group

Teenager with soft tissue sarcoma with multiple adverse drug reactions

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