<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:One week after admission to the hospital for an extensive left middle cerebral artery stroke, a 91-year-old woman is unable to communicate, walk, or safely swallow food. She has been without nutrition for the duration of her hospitalization. The patients sister requests placement of a percutaneous endoscopic gastrostomy tube for nutrition. The patients husband declines the intervention. There is no living will. Which of the following is the most appropriate course of action by the physician?? A: Proceed with PEG placement, B: Consult the hospital ethics committee, C: Initiate total parenteral nutrition, D: Encourage a family meeting, E: Transfer to a physician specialized in hospice care,  <response>: This is a question about the appropriate medical and ethical course of action for an elderly patient with a severe stroke who is unable to eat, communicate, or walk. The patients sister wants a PEG tube placed for nutrition, but the husband declines. There is a conflict between family members about the right course of action. The choices include proceeding with PEG tube placement against the husbands wishes, consulting an ethics committee, starting IV nutrition, encouraging a family meeting to discuss options, or transferring to hospice care. We need to consider what is in the best interest of the patient given her poor prognosis and quality of life after the stroke. We also need to weigh the wishes of the patients family members. The most ethical approach is likely to involve a family meeting to discuss options and try to come to a consensus on the appropriate care plan.D: Encourage a family meeting 