By Audrey | Palliative Care Nurse
Chipo is living with breast cancer and needs morphine to manage her pain – BECAUSE SHE MATTERS!
Audrey, Palliative Care Nurse (Harare Branch)
Chipo is 65 years old. She tells us her life changed when her husband died several years ago. Since then Chipo has been living with her daughter in Chitungwiza. In 2012 Chipo’s life changed again when she found lumps in her breast. She was referred to Harare for further investigations where a biopsy revealed bilateral breast cancer.
Chipo refused further surgical interventions and treatments. She said she didn’t want to suffer the side effects associated with cancer treatment. In November 2012 when Chipo came to stay with her daughter in Chitungwiza she met several Island Hospice and Healthcare palliative care trained community home based caregivers. They explained to her about palliative care and its benefits. They explained that palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness. They explained that this is done through the prevention and relief of suffering by means of early identification and assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Chipo asked to be referred to Island Hospice and Healthcare Harare branch for support.
When she presented at Island Hospice and Healthcare Chipo complained about severe backache and chest pains. She rated her pain at 8 out of 10. She was no longer able to attend church services and do daily household chores. She was immediately commenced on morphine and brufen. On follow up home visits we found that with the medicine Chipo’s pain was under control.
Over the years that Chipo has been supported by Island Hospice and Healthcare her morphine dosage has gradually increased in correspondence with her pain. Because of this Chipo was able to resume her day to day duties. Chipo said as long as she is taking her medication, she is pain free and attends church services which she missed so much during times of severe pain.
In the past three months the morphine supply in Zimbabwe has affected Chipo. There is now a critical shortage of morphine. Due to this Chipo started to miss some of her morphine doses. She is meant to take her morphine every 4 hours to manage her pain. Chipo tried to extend the supply by taking it every 8 hours. She says she did this to make the morphine last longer. During one visit Chipo said “sister I only take morphine when I am in severe pain”. This has triggered the pain that was once under control. This means that it is now harder to get Chipo’s pain under control again. The pain can make her physically nauseous and affect her appetite and what she is able to do and this in turn compromises her health. This in turn causes emotion distress among Chipo’s family. This is unacceptable because Chipo matters and living in pain is avoidable with the right medicine.
Please consider donating funds for medication to help us support Chipo and othes like her.
World Hospice & Palliative Care Day falls on 13 October 2018 under the theme Palliative Care – Because I Matter.
By Erica C/O Lenah Mudada | Mutare Branch Coordinator
By Francis Tsikai & Lovemore Mapuza | Palliative Care Consultant, M&E Officer
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