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Melissa Teo Surgery

The Unseen Stress and Involvement in Performing Palliative Surgery for Cancer Patients: A Nurse's Perspective

Dear Doctor,

As a nurse entrusted with the care of cancer patients undergoing palliative surgery, I am familiar with the complexities and challenges that accompany such procedures.


Palliative surgery, unlike curative treatments, aims to alleviate symptoms and improve quality of life rather than eradicate the disease itself. While this approach offers relief to patients suffering from advanced cancer, it also presents unique stressors for healthcare providers, particularly nurses who are at the forefront of patient care.



Navigating the balance between providing compassionate care and managing the expectations of family members is one of the more profound stressors. Unlike conventional surgical procedures, which typically have a straightforward goal, palliative surgery requires a more subtle and nuanced approach. It involves thorough discussions with patients and their loved ones about realistic outcomes, potential complications, and the implications of surgical interventions with regards to their quality of life. The emotional impact of palliative care is profound.


Often enough, nurses develop in-depth connections and close relationships with the patients and their families. It is disheartening to witness the endless suffering and rapid deterioration of the patients, and how cancer can impact one so profoundly. This emotional involvement is both a privilege and a burden, as we share the joys of small victories and the sorrow of inevitable setbacks.


The weight of grief and loss is something I am beginning to understand. Each patient I care for leaves a lasting impression. When the patient has passed, it feels deeply personal as a connection has been formed. Each loss accumulates. Over-time, the cumulative effect of these losses can lead to emotional exhaustion and a need for support.


The patients I care for become a part of my professional and personal journey. I constantly strive to provide the highest quality of care, but there are moments when I question my abilities and decisions. The constant demand to balance empathy with clinical expertise requires resilience and self-reflection. I strive to provide compassionate care while learning from more experienced colleagues. There are moments of self-doubt, but I am committed to growing in my role and contributing to the best outcomes for my patients.


Lastly, self-care is essential but often overlooked. As a young nurse, I am learning to prioritize my well-being to prevent burnout and compassion fatigue. The support from you and my colleagues are opportunities for reflection which are invaluable in helping me navigate the emotional challenges of palliative care. While the stressors of being involved in performing palliative surgery on cancer patients may not always be visible to those outside the healthcare profession, it is deeply felt by nurses on a daily basis.


Together with your guidance and support, we can continue to provide the best possible care for our patients during these challenging times.


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