Pt end stage liver failure, recurrent pleural effusions with pleural drain. Unstageable decubitus ulcer, diabetes. Need to take two medical Dx, write nursing Dx for each, 2 goals and 3 interventions for each. Problem is pt is now on end of life care. Comfort measures only. No diabetes monitoring, no medications, only draining chest drain for comfort. I am at a loss for enough goals in this case.