When my husband was nearing the end of his almost decade long push to stay alive as long as he could, given his terminal cancer diagnosis, he asked me to manage his care with nausea as the primary concern when I knew he was also in a lot of pain.
His mind was not always clear at that point so I questioned him to make sure he meant what I heard him to say. He confirmed his request and I did my best to quash the terrible nausea he suffered, before concerning myself with alleviating his pain.
It was years later in my own cancer treatment I found out how debilitating non-stop nausea is and I understood.
We were in a long term fight to keep him alive. During that time we perfected our ability to act as a team, with almost mechanical common drive, in all aspects of his healthcare. We had also promised each other at the beginning of this journey, to be impeccably honest with each other.
It is a leap of faith to listen to the patient's wish.