A 66-year-old man with metastatic pancreatic cancer with liver metastases is seen in the palliative care clinic. His estimated prognosis is 2 to 3 months. He tells you that he feels like a burden on his family and that he has lost his sense of purpose. He sleeps poorly, has little interest in activities he used to enjoy, and says he feels "empty." His pain is well controlled on controlled-release hydromorphone PO with breakthrough doses, and he takes pancreatic enzyme replacement. He has no known allergies. He is alert and oriented, and his ECOG performance status is 2.
| Heart rate | 84/min |
| Respiratory rate | 16/min |
| Temperature | 36.8 °C |
| O2 saturation | 96%, room air |
| Blood pressure | 118/70 mm Hg |
Question 1 of 9
Which of the following are the most appropriate initial management steps?
Select 3. (0 / 3 selected)
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