Mom's nursing home has no hospice.
Mom is declining, down to 82 pounds and not eating. Being on morphine and tranquilizer she sleeps most of the time, is confused. Its hard to tell if she is slowly dying, or if the drugs are making it look that way. She is looking worse and worse over the past 3 months, so it appears she is slowly going downhill (not surprising at her age and condition).
No drugs mean she would be so agitated she will try to get out of bed and fall again even with the fractured pelvis. Without the tranquilizer she is like a trapped animal, thrashing around, confused, upset, pulling her splint off, etc.
I asked if it is time for hospice and they told me they don't do hospice, but comfort care. I had to choose from a list of care items what to have them do or not. I chose pain alleviation and comfort and to treat only a UTI if necessary, no life extending care, tubes, etc.
It appears to me she is receiving excellent care, turning her to prevent bed sores, washing her and putting lotion on, keeping her comfortable, feeding and liquid if she wants it, even to using a hoist and putting her in a geri chair so she can sit by the nurses station if she wants. Yesterday, she did not want to be moved, so they let her sleep. They check on her a lot.
This sounds a lot like hospice care but without the extra people. Since this NH is so far out in the country, I'm guessing that hospice won't come out that far and they have no staff nearby.