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Certified Hospice Medical Director

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A 78-year-old man with end-stage COPD and heart failure elects hospice after a prolonged hospitalization for recurrent exacerbations. He is discharged home on oxygen, furosemide, and low-dose morphine for dyspnea. At the initial visit, his daughter asks, 'How long does he have?' The patient has not been told his prognosis. What is the medical director's best response?

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