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Activity 4: Six months later

In Herbert's story, he was introduced as a self-funded retiree with heart failure that had progressed and had been re-classified from Class 11 to Class 111 Heart Failure. It's been six months since Herbert was told that his heart failure was progressing.

His heart failure continues to worsen and he's upset that it's stopping him from spending time with his friends and doing what he enjoys.

He's particularly bothered by his fatigue and his breathing problems. As part of his assessment, Herbert is asked about his appetite. He states that he has a poor appetite and that although he tries to eat he feels that there "isn’t much pleasure in it anymore".

Six months later

Think about the physiological, psychological, and environmental factors that may be contributing to Herbert's symptoms.

Thinking points