PALLIATIVE CARE IN RAPIDLY PROGRESSIVE DISEASE:

Introduction: This work tells of C.R.S. 62, a native of Maranhao, intercom, single caregiver of her two children. Diagnosed in the unit with pancreatic cancer who developed his death in 3 months. Goal: To report the progress of the patient aims to show the importance of diagnosis in primary care, subsequent follow-up home visit and the importance of palliative care not only the patient but their family. Methodology: Three months ago the patient sought the unit complaining of intense abdominal pain, significant weight loss, postprandial fullness and asthenia. tumor markers requested the same day with CEA 19-9> 1000 has high specificity for pancreatic cancer. Immediately forwarded to the INCA and started family approach and palliative care patient. optimized treatment of pain, nausea and depression, with several times a week home visits by the whole team and separate consultations with their children. Used Familiogram and ecomap to assess cuidativo support the patient. Contact with the mother who returns to be part of the routine of the children and puts his home as a primary option for their daughter after her father's death. Conclusion: From this work we show the importance of primary care as a gateway for the rapid diagnosis, looking after the patient, and to later palliative care and family monitoring. Still we put the importance of networking with the Cancer Hospital. Know the patient and his feelings was crucial to work a disease of rapid progression to pancreatic cancer.