5th January 2024

An 81-year-old man in the hospice has incurable non-small cell lung cancer. He currently takes Oramorph PRN at 2.5mg

An 81-year-old man in the hospice has incurable non-small cell lung cancer. He currently takes Oramorph PRN at 2.5mg to help manage his breathlessness. In the past week, he feels that his breathing has become worse. He tells you he has had increasing levels of stress and worry, as he is aware his prognosis is likely short months. Observations elicit a tachycardia of 120 bpm. The rest of his observations are normal, and examination is unchanged. An ECG shows sinus tachycardia. What is the most appropriate next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.