A 79-Year-Old Man Is Being Evaluated for Hospitalization After Experiencing

A 79-year-old man is being evaluated for hospitalization after experiencing an exacerbation of chronic obstructive lung disease. His wife is concerned about his health because he has been hospitalized several times in the previous year for various issues connected to his comorbidities. For for over 50 years, the patient has smoked cigarettes every day. Coronary artery disease, type 2 diabetes mellitus, and obesity are all part of the medical history. Following a comprehensive history and physical examination, the physician chooses to admit the patient and continue his diabetes and heart disease meds. Supplemental oxygen, bronchodilators, antibiotics, and systemic corticosteroids are also included in admission orders. Which of the following new components should be included in the admissions process?

A) Discussion about diet and exercise to improve glycemic control and heart health
B) Discussion of whether the patient has advance directives or a health care proxy
C) Discussion regarding smoking cessation to reduce the patient's risk of dying from heart or lung disease
D) Facilitation of a social work assessment to arrange for home health care and expedite discharge
E) Verification of insurance coverage to determine eligibility for supplemental oxygen at home

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