Various chemos have failed. What do we do now?

A fellow caregiver asked...

My dad has non-small cell lung cancer which has spread. He tried many chemos but none worked. Doctors have given up hope but he is still physically strong. What can or should we do now? Please suggest and advice.

Expert Answer

Linda Ackerman, R.N. has clinical experience in oncology, women's health, and medical nursing. She has been practicing for more than 20 years and is a licensed registered nurse in both Florida and Wisconsin. In addition, she serves as a board member of Breast Cancer Recovery and the Wisconsin Cancer Council.

Thank you for the question, the situation you are describing must be difficult for you and your dad. I am happy to hear that he is maintaining his physical strength at this time.

I would recommend asking your dad what he would like to do next. Based on his wishes the two of you could plan next steps.

I can list a variety of suggestions and ideas that the two of you could discuss together.

"¢ Did the physicians that gave up hope, offer any other suggestions related to his quality of life?

"¢ Does your dad want to pursue more treatment? If yes, your dad could seek out a second opinion, and/or look into the possibility of enrolling in a clinical trial.

"¢ Would your dad want to look into some of the services provided by a palliative care or hospice program? These services could help both of you, by offering information and support, related to both physical and emotional needs regarding any further spreading of your dads cancer.

It sounds as though you have your dad's best interest in mind; I think having an open honest discussion about his wishes is the best way to begin to plan next steps during this difficult time.