<s>[INST] Hi Dr. Dorian Oana, my mum was diagnosed with terminal advanced pancreatic cancer that has spread to her liver and lungs. I have been caring from her.. which actually was healing for me cause I am so sad to lose her. I had to take her to palliative care because she is bed ridden now and then stopped being able to get up to go to the toilet. they wash her in bed and she uses a bed pan. I know I am in a bit of denial but is this the last stage… Thank you look forward to your reply. Milly [/INST] Pancreatic cancer that has spread to any organ of the body outside the pancreas is stage 4 or last stage to begin with. In your mothers' case, it has spread to the liver and lungs and so is definitely, without a shred of doubt last stage. Last stage pancreatic cancer cannot be cured and has a very poor outcome and short life span. I am sorry to be the bearer of bad news but your mother doesnt have long to live. So i suggest that you give her the minimum possible discomfort and do not think of any active anti-cancer treatment. </s>