Neela is 60 and has been a widow for many years. She lives alone and has 3 surviving adult sons, however her only daughter pre-deceased her. Her neighbours care for her.
She has longstanding diabetes and developed low abdominal pain 5 years ago. She was diagnosed with cervical cancer and treated with radiotherapy at the Black Lion Hospital in Addis Adaba. She has been re-referred for further radiotherapy but is unlikely to receive it as there is only 1 machine working in Addis Adaba and the waiting list is lengthy.
She was referred to Hospice Ethiopia just over a year ago with significant pain issues. Her pain level was then successfully reduced with paracetamol and amitriptyline (free of charge). Her mobility has now deteriorated and she is sad that she can no longer attend her Orthodox church. However, she is pleased she is still able to make injera-the traditional Ethiopian flat bread.
Sister Filigot from Hospice Ethiopia spent significant time exploring her concerns and she agreed to continue taking regular paracetamol 4 times daily and to increase her amitriptyline tablet at night. Sister Filagot planned to ring her in 5 days to review the effectiveness of increasing the amitriptyline.