Palliative Medicine   

Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...

How do you subsequently titrate it?

What do you start initially, and how do you go about escalating the regimen if constipation persists?

For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome. 

Should we consider this as a unique point during goal of care discussions, separate from code status, comfort measures only, etc.?