On January 17, 2007,1 authors Sriram Yennurajalingam, MD, and Eduardo Bruera, MD, presented the case of Mrs D, an 82-year-old retired nurse with a history of interstitial lung disease, hypertension, coronary disease, osteoporosis, gastroesophageal reflux disease, and anemia, with a recent admission for pneumonia. Her surgical history included a colectomy secondary to a perforated diverticulum and gastrointestinal bleeding. Due to dyspnea, Mrs D became increasingly dependent on supplemental oxygen for her daily activities. She lived independently and had a living will; she had asked to not undergo attempted resuscitation. Her daughter, with whom she was very close, was her durable power of attorney for health care.
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