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[|Human|] Have a cancer patience with neck, throat and lung cancer.  Took treatments but didnt really help.  He has feeding tube for the last 5 months.  Hospice has already been called in.  His pulse was 100 today which is high.  He arm started shaking really bad earlier and I didnt know if it was a stroke.  The nurse came out and she said possible or cancer had spread to arm.  Just wondering about the pulse.
[|AI|]  Hi, Thanks for writing in. If the patient has cancer that has spread to neck, throat and lungs then it is advanced stage. It is important to know the primary origin of the cancer and the details of the treatment including the treatment response of the primary cancer and the evolution of the metastasis. The shaking of the arm is to be evaluated in detail. It is likely that he had a seizure or mild stroke. Please watch for any more such episodes and discuss with his doctor if a CT scan brain is required. Any ways the patient requires continuous nutritional support which he is being given through the feeding tube. Cancer patients are immunocompromised and have a tendency to get infected with disease conditions like mild bacterial and viral infections. The pulse might be high from having a mild infection. Any fever is to be noticed and controlled with medicines. Pain relief becomes important in these patients, and please talk with the palliative medicine doctor to know if he is getting adequate dose of pain relief medicines. Please do not worry.