... and the involvement of the patient's family on discharge. The names of the patient and her daughter-on-law have been changed to preserve confidentiality (NMC, 2002). Chloe Bower, an 81-year-old female, with known uterine cancer, was admitted to a gynaecological ward for elective surgery. She was booked to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy (BSO), a surgical procedure that removes the uterus, cervix, fallopian tubes and ovaries (Norris, 1994). Four months early Chloe had experienced moderate vaginal bleeding and lower abdominal pain. She was referred by her GP to the hospital's gynaecological out patient service. Upon further investigation she was diagnosed with uterine cancer. Chloe's past medical and surgical history included osteoarthritis, which affects her knees and an appendectomy 40 years ago. Chloe's husband died 5 years ago and she lives alone. Her two sons and daughter live close by and a family member visits her at least once a ...

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