A 64-year-old man with myelodysplastic syndrome has a history of treatment toxicities and infections. His wite of 30 years works as a nurse and takes care of her husband at home. The patient and his wife present for a follow-up visit after a recent hospitalization for pain control. She reports dificulty managing the patient's medications and forgets doses several times per week. On exam, the patients vital signs are normal. He is in no physical distress but reports that his relationship with his wife has become more strained. His blood work results appear to be stable. Which of the following will likely improve outcomes for this patient?
A. Recommend hospice
B. Refer the patient's wife to a psychiatrist
C. Consult a social worker
D. Ensure the patient has weekly follow-up visits to ensure adherence to medications