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Evaluation

Are you predicting survival for a hospice inpatient?

Gender of the patient

Karnofsky score (enter from 20 to 80)

Is the patient in pain?

Does the patient have no funds?

Does the patient have a primary lung or colon cancer?

Is the patient weak?

Is the patient in congestive heart failure?

Is the patient receiving hormonal therapy?

Is the patient disoriented?

Results

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