Frances is a client with a diagnosis of breast cancer. When she sees her oncologist, Frances reports that she is feeling fine, eating and able to function in much the same way as before receiving...

Frances is a client with a diagnosis of breast cancer. When she sees her oncologist, Frances reports that she is feeling fine, eating and able to function in much the same way as before receiving chemotherapy. Her husband’s perception differs. He reports that her appetite has declined such that she only eats a few spoonfuls of food and she spends much of the day in bed. What Frances is reporting is true. When she is up, she enjoys doing what she did previously, although at a slower pace, and she does eat at every meal. Frances is communicating her need to feel normal, which is important to support. What her husband adds is also true. Her husband’s input allows Frances to receive the treatment she needs to stimulate her appetite and give her more energy