The patient is in hospice care. according to Conrad fischer ethics example, a man with COPD in hospice can be given high dose opiates even though there is a risk of respiratory depression becuase the intent to relieve suffering is the highest priority.

I wasn't sure, but then I realize he is going to die, he is in a hospice + the best you can do is made him feel without pain. BUT at the end what made me decide was The reason of the medication. At this point you really don't care about controlling everything else.

In FA it is stated that "During end-of-life care, priority is given to improving the patient’s comfort and relieving pain (often includes opioid, sedative, or anxiolytic medications). Facilitating comfort is prioritized over potential side effects (eg, respiratory depression). This prioritization of positive effects over negative effects is known as the principle of double effect.

Medication dosages should be titrated promptly to achieve effective pain control.

https://www.aafp.org/afp/2000/0201/p755.html