Ask the patient how much they wish to know about their condition and whether they would like to directly make treatment decisions or via the family.

Try and convince the daughter that it is necessary for her mother to know about her condition in order for the mother to make autonomous decisions about her management.

Tell the patient the diagnosis against the advice of the family.

Discuss the results of the CT and the treatment options with the family, then determine together what information the patient should be told.

Tell the patient that the she need not worry and that you will give her medicine to make the pain go away.