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This  is a case study about the evolution of Palliative and Hospice Care.   Please review the book and then read the following 2 articles before you address the case study.   Additionally, you may research the issue yourself to bring in extra  information.  Please answer the 2 questions on the case study. 

http://www.medscape.com/viewarticle/723058    I have put this article on moodle-you can access it for free with  medscape account, but I wanted you to have it if you do not. 

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https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000536.htm

An 85-year-old man with New York Heart Association class IV heart failure, hypertension, and moderate Alzheimer’s disease, who lives at home with his 84-year-old wife, arrives at his primary doctor’s office with complaints of worsening heart failure symptoms, including breathlessness, extreme fatigue, poor appetite, and continence problems.  His wife is feeling overwhelmed with his declining health and worries when he is not able to catch his breath and will no longer eat the food she fixes for him.

a.       Is this man a candidate for palliative care?

b.      What is palliative care and how is it different from hospice care?

c.       What is the goal of palliative care and what interventions might be tried to achieve these goals.

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