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Observation In Hospice's Farewells

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At today’s visit, she is accompanied by her husband. She is awake, alert and pleasantly confused. She denies pain, shortness of breath and chest pain. The husband reports that the patient memory has worsened. He states that she forgets how to perform her ADLS, now he has to assist her with her ADLS. She continue to have a poor appetite, he states that she hold food in her mouth. He started to puree her food. She ambulate with a walker, her gait is unsteady. She was evaluate by hospice a couple months ago but at that time had a prognosis of greater than 6

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