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        Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia?

        Yoke Yeng Leong,Ednin Hamzah,Sylvia McCarthy,Zee Nee Lim 한국호스피스완화의료학회 2022 한국호스피스.완화의료학회지 Vol.25 No.3

        A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-ofcare discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers’ potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

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