You are taking care of Mrs. H., a 90-year-old patient with gastrointestinal bleeding. She has developed numerous complications and requires mechanical ventilation. She is unresponsive to nurses and...

You are taking care of Mrs. H., a 90-year-old patient with gastrointestinal bleeding. She has developed numerous complications and requires mechanical ventilation. She is unresponsive to nurses and family members. She has been in the hospital for 2 weeks and requires a transfusion nearly every day to sustain adequate hemoglobin and hematocrit levels. Her prognosis is poor. Before this hospitalization, she lived independently at her own home. Her children tell you they are tired of seeing their mother suffer. How do you respond to the family, and what followup do you perform?