Reference no: EM133807971

Question

Advanced Care Planning Note for a Patient: Mrs. Sarah Johnson, an 80-year-old widow with end-stage heart failure, has expressed her wishes for advanced care planning. She wants to discuss her preferences regarding life-sustaining treatments and end-of-life care. Please draft an advanced care planning note based on your discussion with Mrs. Johnson. Mrs. Johnson has a history of heart failure with reduced ejection fraction (EF 20%), despite optimal medical therapy including diuretics, ACE inhibitors, and beta-blockers. She has experienced multiple hospitalizations for exacerbations of heart failure in the past year. She is now experiencing dyspnea on minimal exertion and peripheral edema, despite adjustments to her medications. Mrs. Johnson is cognitively intact and understands the implications of her condition. She expresses a desire to avoid aggressive interventions such as cardiopulmonary resuscitation (CPR) and mechanical ventilation in the event of a sudden deterioration in her health. She prefers comfort-focused care and wishes to discuss hospice options.