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.
Markowitz AJ, Rabow MW. Palliative Management of Fatigue at the Close of Life: “It Feels Like My Body Is Just Worn Out”. JAMA. 2007;298(2):217. doi:10.1001/jama.298.2.217