EOL decision making in patients with advanced neurology disease is often delayed. This study showed that MND patients are readier to discuss their EOL issues and signed their AD. The NPCT can play a valuable role in EOL discussions in patients with advanced neurology diseases under collaboration between the PC and the neurology teams.

Objectives:Major depression is common in patients hospitalized with congestive heart failure and is independently associated with increased re-hospitalization and mortality.Methods:Hereby, we report the treatment for an elderly congestive heart failure patient with frequent emergency department visits having major depression and hopelessness.Results:Treatment outcomes measured showed that depressed scores of psychosocial needs were reduced with life review interview therapy in a palliative care day center.Conclusion:We hypothesize that multidisciplinary team’s approach to treatment was important for this case.