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End of Life (signs/symptoms of end of life (depression/anxiety (etiology…

- - - - alterations in function/control/independence
      - alterations in environment
      - uncontrolled symptoms
      - medications/metabolic abnormalities
      - pre-existing depression/anxiety
    - - counseling, spiritual support, address concerns
      - psychostimulants (time frame considerations), benzodiazepines
- - - - fear of addiction/opioid stigma
      - fear of medication side effects
      - medication cost
      - cultural beliefs
      - cognitive/language impairments
      - inadequate pain assessment
      - provider fear of causing death/prescribing opioids
- - - - routine home care
      - continuous home care
      - inpatient hospice care
      - respite care
  - - - multiple hospitalizations/ed visits
      - progressive illnesss
      - progressive functional deterioration
      - unintentional weight loss