What intervention is most suitable for a patient with end-stage liver cancer who prefers to be home?

The most suitable intervention for a patient with end-stage liver cancer who prefers to be at home is the use of hospice services. Hospice care is designed specifically for individuals who are nearing the end of life, focusing on providing comfort and support rather than curative treatment. This approach addresses not only the physical symptoms of the disease but also the emotional, spiritual, and social needs of the patient and their family.

By choosing hospice services, the patient can receive comprehensive care in a familiar environment, with a team of professionals who specialize in managing pain and other distressing symptoms associated with terminal illness. This holistic approach ensures that the patient's wishes for comfort and dignity are fulfilled, allowing them to spend their remaining time surrounded by loved ones in a supportive setting.

In contrast, inpatient rehabilitation would typically focus on recovery and improving physical function, which is not aligned with the goals of care for someone at this stage of life. Palliative surgery is often not appropriate for end-stage cancer, as it may not provide significant benefits or improve quality of life. Lastly, relying solely on pharmaceutical management does not encompass the full range of supportive services offered through hospice care, which includes emotional and spiritual support along with symptom management.