Hello
Very new to this forum so please forgive me if this has already been discussed.
Unfortunately, in September this year my grandfather was diagnosed with prostate cancer which has spread into the bones.
One day after diagnosis the cancer in the femur ruptured the bone leaving my grandfather unable to walk and as a result he has been in care since.
Over the past month I have noticed that my grandfather is getting increasingly confused and frustrated (understandably). I just wondered if there was anyone who knows what the progression would be like for him? and what things are 'normal' with this diagnosis.
At the moment we are aware of cancer in the femur, pelvis, lower and upper spine and back of the head. He is in his 90s so other than pain relief (which is helping) we've been advised there is not the option of treatment due to age and heart conditions. He is also looking very frail now, which I'm not sure if it's age related or cancer related. The care home advised that he has gained weight since being cared for in there.
I'm just wondering if anyone has similar experiences which they would be willing to share, just so we can have an idea of what the next few months/years (?) will bring. The family are starting to struggle with the change in personality, knowing whether it's a 'good day' or a 'bad day'. Obviously we all have those so it's a bit difficult to explain but they personality change is becoming more apparent. He is very scared and seeks reassurance from the nurses and our selves which we are all happy to provide. We just want to be as honest as we can be with him.
An additional complication is that we don't know how long the cancer has been present, as he's not been to a GP in over 20 years prior to the diagnosis in September!
Thanks for reading
Hello BuzzyBee42 and welcome to the group but I am sorry it is under these circumstances. Prostate cancer is usually slow growing and has probably been present for a long time but with very few symptoms by the sound of it. None of us are able to give you a prognosis as a lot will depend on your grandfather's constitution and his will to live but putting on a little weight is a good thing. I am wondering whether being in the care home is adding to his confusion and frustration.
Without treatment, and with the spread that your grandfather has, then my personal opinion is that he has months rather than years but would suggest that you have a conversation with his doctor or someone at Macmillan on their support line as they have more knowledge than us lay people. Their number is
0808 808 00 00
They also have information on what to expect and help which might be available on these links.
No, the hospital originally gave him one dose of hormones but felt that as the cancer had spread into the bones it would have little impact.
Thank you
That's very helpful and appreciated I'll take a look at the links
I'm puzzled by that. Hormone therapy usually has a significant benefit on spread to bones, reducing mets, reducing pain, reducing symptoms. Occasionally, it only works for a very short time.
Because of his other conditions, treating the prostate cancer might not impact his life expectancy, but it probably would help with any pain and deterioration caused by the cancer. Hormone therapy does have side effects of its own. For someone with a short life expectancy anyway, I would perhaps ask about going on Bicalutamide alone. Bicalutamide doesn't work for a long time, but it has fewer side effects than the other hormone therapy medications, and a positive side effect when used without other hormone therapy drugs is that it's bone strengthening (the others all cause a reduction of bone density).
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