Remains of the day

John is 74 years old, a long-term patient, and lives with his wife, Linda. They have three supportive daughters nearby with families of their own.


John was diagnosed with metastatic prostate cancer eight years ago. He has remained relatively well until recently. He has regular oncology and urology reviews. He was attending his GP for three-monthly gonadotropin-releasing hormone agonist injections, until the disease became hormone-resistant four months ago.

John has a past history of hypertension for 20 years and has remained well-stabilised on an