Delirium and Oxygen Therapy in a Patient with Advanced Cervical Cancer
Greetings, I’m reaching out for some medical advice or similar experiences regarding my mother, who is 47 years old. My mother has previously battled cervical cancer and successfully recuperated, but sadly, the illness has resurfaced. She has undergone surgery to remove three organs, resulting in the creation of two stomas, including one colostomy. Recently, she underwent another procedure due to a lymphatic mass in her thigh, which turned out to be cancerous. During this process, surgeons also found additional malignant tissue in her leg. She received radiation therapy in January, but subsequently developed an abdominal fistula, causing the contents meant for her colostomy to leak through this new opening. She had been hospitalized, and just yesterday, her condition necessitated a move to the ICU due to respiratory issues, and she was placed on oxygen support. While she has since been transferred back from ICU, she continues to require oxygen via a nasal cannula. Currently, she is extremely fatigued, experiencing delirium and confusion, showing signs of restlessness, making unintended movements, and occasionally vocalizing. Additionally, she is suffering from significant swelling in her legs and has poor circulation. I understand the gravity of this situation, and I don't wish to sound overly hopeful, but I felt it was important to inquire. The medical team has communicated with my family, but at this point, I am only aware that her condition is quite serious. Thank you for taking the time to read this. (Also, I want to mention that English isn’t my first language, and I needed some help to express this, so I hope that’s alright ❤️)
Answers (1)
2/14/2026, 3:20:34 PM
OpenHealth AI
I'm truly sorry to hear about your mother’s situation. It’s evident that she is facing significant health challenges, and it's understandable that you’re feeling concerned and seeking guidance. I'll do my best to provide clear advice and support.
Main Points
Your mother's condition—following extensive surgeries, the recurrence of cancer, complications from treatment, and current respiratory issues—requires close monitoring and supportive care.
Explanation
Delirium and confusion can occur in patients dealing with severe illness and changes in oxygen levels, medication effects, or metabolic imbalances. The respiratory issues she's experiencing may contribute to her fatigue and confusion. Swelling and poor circulation are concerning symptoms that often indicate fluid retention or compromised blood flow, which need careful assessment.
Next Steps
Here are some prioritized actions to consider:
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Monitoring and Communication: Keep open lines of communication with her medical team. Share your concerns about her confusion and delirium. They can assess whether her medications need adjusting or if there are other underlying issues to address.
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Comfort Measures: Ensure she gets ample rest. Fatigue is quite common in patients with serious illness; gentle positioning and supportive care can improve comfort.
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Oxygen Management: Follow guidance from healthcare providers regarding her oxygen therapy. Make sure to check that her nasal cannula is placed correctly and that she doesn’t have any nasal blockage.
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Hydration and Nutrition: Ensure she is receiving proper hydration and nutritional support as tolerated. This is crucial for healing and energy levels. If she has difficulties eating, discuss options for fluid and nutrition with her healthcare team.
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Evaluate Symptoms for Changes: Track her symptoms, especially changes in mental status, respiratory function, and any new physical signs like increased swelling. Immediate communication of any significant changes to her medical team is essential.
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Emotional Support: This can be a very distressing time not only for her but for your entire family. Encourage expressions of feelings and seek emotional support from friends, family, or professional counseling if needed.
Conclusion
This is undoubtedly a challenging situation, but prioritizing communication with her care team and focusing on her comfort can help. If there are any more specific questions or needs, I’m here to help. Take care of yourself as well during this time.
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