Patient’s Data​

Patient’s Name: Robert Jones

Age: 43-year-old male

Past Medical History: 

• Metastatic anal squamous cell carcinoma (HPV-associated)
• HIV positive
• Generalised anxiety disorder 
• Alcohol misuse and IV drug user (Heroin) 
• DNACPR in place 

Drug and Allergy History:

• Dolutegravir (50 mg) + Tenofovir disoproxil fumarate (300 mg) + Emtricitabine (200 mg): One tablet orally once daily.
• Morphine sulfate (Oramorph): 10 mg orally every 4 hours as needed
• Senna: 15 mg orally at bedtime
• Sertraline: 50 mg orally once daily.
• Metoclopramide: 10 mg orally three times daily as needed for nausea and vomiting
• No known drug allergy 

Recent Notes/Consultation

Oncology letter

Re: Mr. Robert Jones (Age: 43 years old male)

Dear GP, 

I am writing to update you on the management and current status of our mutual patient, Mr. Robert Jones, who has been under the care of the Oncology Department for metastatic anal squamous cell carcinoma, associated with HPV infection and HIV-positive status.

Mr. Jones’s disease has progressed significantly, with confirmed metastases to liver, lungs, and various lymph nodes. He has undergone palliative radiotherapy and palliative chemotherapy for symptom control. Unfortunately, despite these interventions, his disease continues to advance, and it has been determined that there are no curative treatment options available.

Mr. Jones is aware of his prognosis and has consented to transition to community-based palliative care and end-of-life management. His primary goal is to prioritize comfort and maintain dignity during this period. He has also expressed a preference to die at home, supported by community palliative services.

We have now discharged Mr. Jones from our care and referred him to local hospice and palliative care teams. We would be grateful if you could oversee his ongoing management, including symptom control, psychosocial support, and coordination with community services.

Should you require any further information about his oncology treatment or wish to discuss his case in more detail, please do not hesitate to contact me directly Yours sincerely,

Dr Atiku Abubakar, MBBS, MRCP (UK), FRCR
Consultant Oncologist

Patient booked a telephone consultation to discuss advance care planning