My reply is to Tonia and her decision to accommodate her palliative patient and family to provide a quiet space they deserved at this time. It may not have been the best decision according to bed flow, but advocating for your patient and family was good use of critical thinking and problem solving with favorable outcome. Meeting the needs of patients and their loved ones at end of life is what palliative care is. The outcome of your decision met the immediate needs of your patient and family. Accommodating another ER patient into the semi private room was the appropriate decision. Great decision making.