[Solved]: A 56-year-old man with end-stage renal disease is…

A 56-year-old man with end-stage renal disease is hospitalized after experiencing “excruciating chest pain. Despite weekly hemodialysis therapy, the patient continues to experience fatigue. His other complaints are vomiting and chest pain secondary to pericarditis. As the patient has blood type O, he has been on the waitlist for a kidney transplant for 5 years without success in finding a suitable donor. The overseeing physician attempts to inform the patient of his poor prognosis, but the patient appears withdrawn with flat affect. The patient is divorced and his only family is a daughter with whom he maintains a good relationship. During his current hospital stay, it is brought to the physician’s attention that the patient has asked several members of the medical team to help him end his life. Which of the following is the most appropriate next step? A. Admit the patient to hospice care B. Request an immediate psychiatric evaluation C. Contact the patient’s daughter and inform her of the patient’s request D. Increase opioid dosage with the intention of causing respiratory depressionO E.Provide effective pain and anti-inflammatory medications, and tell the patient to not feel sad since other patients who have waited longer for a transplant have had success