Discussing end of life care

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Reference no: EM133848056

Question

NJ is a 72 y/o transgender female with a past medical history significant for end stage COPD- oxygen dependent, HTN and paraplegia from an MVA 5 years ago. She lives with her daughter and son in law. She is admitted to the hospital with acute/chronic COPD exacerbation. She was hoping to have gender reassignment surgery but her advanced respiratory disease has not allowed her to pursue this. She is at the end stage of her illness and discussions about hospice have begun.

1. What factors are important to consider when discussing end of life care? Who should be involved in these discussions?

2. What clinical manifestations of advanced disease might you expect to find on exam?

3. What symptoms would you anticipate in end stage COPD and how would you ensure they are managed to ensure a comfortable end of life journey?

Reference no: EM133848056

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