The nursing experience of caring a patient with metastatic brain tumor in surgical pain management ward: a case study report

Sun Sheng-Feng(1*)

(1) New Taipei City General Hospital Sanchong Branch, Taiwan
(*) Corresponding Author


Brain metastases are related to the poor prognosis of patients. It is not clear why certain cancers are more likely to metastasize to the brain than others. Lung cancer, breast cancer and melanoma noted as the highest incidence of brain tumor metastasis. The purpose of this report was to describe the nursing care of a patient with malignant tumor on the left breast who received multiple chemotherapy and radiotherapy, targeted therapy and mastectomy, and the tumor metastasized to the right occipital lobe of the skull. This study was conducted in surgical pain management ward within 3 days observation. Gordon's eleven health function types’ assessment framework was used. Observations, physical assessments, interviews, medical records were attempted to collect physical, psychological, social and spiritual data. Two specific nursing problems were found. Special attention need to be paid for the pain situation and take individualized nursing measures by evaluating individual patients.


nursing care; brain metastases; pain management

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Custódio-Santos T, Videira M, Brito MA. Brain metastasization of breast cancer. Biochim Biophys Acta - Rev Cancer. Published online 2017. doi:10.1016/j.bbcan.2017.03.004

Krishnan M, Krishnamurthy J, Shonka N. Targeting the Sanctuary Site: Options when Breast Cancer Metastasizes to the Brain. Oncology (Williston Park). Published online 2019.

Rostami R, Mittal S, Rostami P, Tavassoli F, Jabbari B. Brain metastasis in breast cancer: a comprehensive literature review. J Neurooncol. Published online 2016. doi:10.1007/s11060-016-2075-3

Witzel I, Oliveira-Ferrer L, Pantel K, Müller V, Wikman H. Breast cancer brain metastases: biology and new clinical perspectives. Breast Cancer Res. 2016;18(1):8. doi:10.1186/s13058-015-0665-1

Owonikoko TK, Arbiser J, Zelnak A, et al. Current approaches to the treatment of metastatic brain tumours. Nat Rev Clin Oncol. 2014;11(4):203-222. doi:10.1038/nrclinonc.2014.25

Cheng H, Chen H, Lv Y, Chen Z, Li CSR. Prospective memory impairment following whole brain radiotherapy in patients with metastatic brain cancer. Cancer Med. Published online 2018. doi:10.1002/cam4.1784

Swarm R, Abernethy AP, Anghelescu DL, et al. Adult cancer pain. J Natl Compr Canc Netw. 2010;8(9):1046-1086. doi:10.6004/jnccn.2010.0076

Guilkey RE, Von Ah D, Carpenter JS, Stone C, Draucker CB. Integrative review: postcraniotomy pain in the brain tumour patient. J Adv Nurs. 2016;72(6):1221-1235. doi:10.1111/jan.12890

Chou R, Gordon DB, De Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American pain society, the American society of regional anesthesia and pain medicine, and the American society of anesthesiologists’ committee on regional anesthesia, executive commi. J Pain. 2016;17(2):131-157. doi:10.1016/j.jpain.2015.12.008

Hsu JR, Mir H, Wally MK, Seymour RB. Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. J Orthop Trauma. 2019;33(5):e158-e182. doi:10.1097/BOT.0000000000001430

Rogers E, Mehta S, Shengelia R, Reid MC. Four Strategies for Managing Opioid-Induced Side Effects in Older Adults. Clin Geriatr. 2013;21(4):

Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016;8:35-50. doi:10.2147/CCIDE.S63626

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