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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Patient Management And Counseling

My 91 year old mother-in-law is in the hospital with congestive heart failure, pneumonia and two spots on her lungs. She appears to not really understand where she is at as she told me she is there for a job interview and they were kind enough to let her stay in their suite and feed her lunch. Should my husband and I be preparing for her end?
Fri, 22 Aug 2014
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Psychiatrist 's  Response
Hi welcome to HCM.
These symptoms are more likely to of metabolic encephalopathy presenting as delirium.There is gross disturbances in time ,place and person orientation.These can be quite common end of life disturbances in the elderly particularly in the setting of medical comorbities like Congestive heart failure and Pneumonia.These symptoms usually point to bad prognosis.the treatments are not much effective.This state should herald palliation.Consult your doctor for further queries.
Thank you
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Suggest Patient Management And Counseling

Hi welcome to HCM. These symptoms are more likely to of metabolic encephalopathy presenting as delirium.There is gross disturbances in time ,place and person orientation.These can be quite common end of life disturbances in the elderly particularly in the setting of medical comorbities like Congestive heart failure and Pneumonia.These symptoms usually point to bad prognosis.the treatments are not much effective.This state should herald palliation.Consult your doctor for further queries. Thank you