Primary Care End-of-Life Planning for Older: Adults with Chronic Illness

Care of patients with chronic illness such as congestive heart failure and chronic obstructive pulmonary disease accounts for a large part of primary care practice. End-of-life planning is an important part of the care of these patients and should begin early in the progression of the disease. This case outlines the development of a comprehensive end-of-life plan in early, worsening, and end-stage disease.