<s>[INST] my mother is 69 years if age, she has chronic heart failure, she has swelling in her legs, they are very purple, both feet have sores, there are bubble blisters on the feet and legs, her fingers are white to gray color, her nail beds are white, she has a whistle sound to her when she is breathing the her mouth, would it be time to call hospice and do we have approximate time frame of death [/INST] Hi, Thank you for your query. I can understand your concerns. Your mother has chronic heart failure (swollen legs, sore legs due to venous stasis, leuconychia/white nails, wheeze/whistle sound), most likely Cor pulmonale. White nails are due to hypo-albuminemia consequent to congestive nephropathy. Even advanced stage of heart failure can be treated and patient can live with restriction of physical activity. Consult a physician. He will be in a better position to answer your queries regarding prognosis. Regards  </s>