Care in the terminal stage of carcinoma of the pancreas.

Palliative care of the patient with terminal cancer of the pancreas concerns itself with pain, anorexia, nausea and vomiting, bowel and bladder disturbances, sleep aberrations, jaundice, hydration, nutritional state, neuropsychiatric disorders and attitude of patient and family towards the disease and its implications. Each of these facets has a bearing on the quality of life remaining. The administration of pain medication should consider the role of anxiety in the intensification of pain and an anxiolytic or sedative agent can be added if necessary. Specific kinds of pain should be dealt with in specific ways. Gastrointestinal conditions such as constipation, nausea and obstruction should be eliminated. Anorexia may cause debilitation and may also rob the patient of purpose and emotional pleasure.