I have a hospice resident who is alert and oriented, young.  She has been told that she only has 6-9 months left to live.  She has cancer, trache, peg tube, ambulates with walker.   She make frequent complaints of "anxiety" and receives ativan.  She makes statements of "what am I going to do?  how can I end this?"  "is there anything I can do to speed this up?  I wish there were a  pill for saying bye bye?"    She knows her condition, she knows she is going to die,  she is making statements about her condition.  It's not an unrealistic fear. But how do we code this?  These don't seem to fit in any of the categories in section E.   I'm hurrying here, so am probably leaving something out.  She is obviously anxious and depressed.  She is being seen by psychiatrist.  Her antidepressants have been increased. 
Help!
Thanks!


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