It is known that the focus of a dying patient is comfort (Freeman,2013). Similarely, patient centred care (PCC)is characterized by the responsiveness to a patient’s needs and preferences by using the patient’s wishes to guide our activites and interventions (Pelzang, 2010). PCC is known to promote healing, increase support and comfort and decrease suffering (Pelzang, 2010).That being said, I feel that the patient’s point of view and circumstances in the decision-making process is essential. Although, the patient may not verbalize, he is demonstrating non verbal gestures that can speak. Indeed, at his arrival in the ER he seemed comfortable. After insertion of the PEG tube, he demonstrated signs of distress, became agitated, restless and attempted
