1. List several reasons why initiating end-of-life discussions with individuals is difficult. What are your personal reasons?
2. You are about to initiate a first-time discussion on advance care planning with a 62 year old patient diagnosed with congestive heart failure four months ago. The patient is doing well on medical therapy and is scheduled for a routine physical exam. Describe the skills needed in facilitating this discussion.
3. For persons admitted to a long-term care facility, what four related treatment decisions need to be discussed?
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