question: Q:A 75-year-old woman with metastatic colon cancer comes to the physician requesting assistance in ending her life. She states: “I just can't take it anymore; the pain is unbearable. Please help me die.” Current medications include 10 mg oral hydrocodone every 12 hours. Her cancer has progressed despite chemotherapy and she is very frail. She lives alone and has no close family. Which of the following is the most appropriate initial action by the physician?? 
  {'A': 'Submit a referral to psychiatry', 'B': 'Submit a referral to hospice care', 'C': 'Consult with the local ethics committee', 'D': 'Increase her pain medication dose', 'E': 'Initiate authorization of physician-assisted suicide'},