Marion is a 92-year-old patient who weighs 79 pounds. She has had poor eating habits for at least ten years and has refused all attempts by her daughters to improve her nutrition. In addition, Marion had been a heavy smoker all her life and suffered frequent respiratory problems. During the past two years, she has become quite forgetful, has suffered a broken hip as a result of a fall out of bed, and has been treated for pneumonia. Her daughters, who have their own family responsibilities and cannot…
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