Mr. Smith took an early retirement because of his cancer diagnosis. He loved his work, so this was a huge financial and emotional loss for him. He has been married for 54 years and has a supportive wife but is estranged from his only son. Mrs. Smith feels that her husband has been depressed since his diagnosis and lately he has been telling her that he is fearful of dying in pain like his brother. His brother died of lung cancer several years ago with very poor pain and symptom management.