MIL is 80 and has the beginnings of COPD and maybe a bit of dementia. She's apparently always been impulsive and forceful; her children go along with whatever she wants. She had openheart surg. about a month ago for an aortic dissection. she survived the surgery with a small stroke, has lost her sense of taste and now is refusing to eat, refusing OT and pT and just wants to die. She is insisting on being moved to a palliative care facility so she can refuse to eat and just die. Interestingly, she will eat, at least from time to time, pizza, a burger, a hot dog, brought in by her sons. What do you do in this kind of situation? the longer she lies in bed, thinking that she's dying, the more debilitated she becomes. there is no reasoning with her.