You review Jenny, an 87-year-old with no immediate family who has been brought in by ambulance as a neighbour was concerned that he hadn’t seen her in three days. She has a background of dementia and breast cancer and has been admitted to the hospital three times in the past year with chest and/or urosepsis.
When you review her, she is thin, febrile, confused and hypotensive, with symptoms and signs again consistent with urosepsis.
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What features in her history suggest she may be approaching the end of her life?
What sources can you use to establish what she wants for her future care?
Which elements of the palliative care jigsaw should be implemented for Jenny?

Very good module. Makes you consider the importance of palliation.
Very informative module supporting current practice