My Dad is in a VA facility, locked ward, there because of occasional dementia that he can get angry when he feels we are all in danger from it and that we are not acting in a manner that will save us. OK, that's what got him in there, but he hasn't exhibited it but once, and very mildly, in the six months he's been there now. He has late onset PTSD, seriously he was in WWII and after that had a healthy career and after the career fell apart, began to talk about war experiences, and as the family learned about PTSD, discovered many of the problems we had as a family were due to his personality affected by PTSD. Anyway, he also gets tremors that resemble Parkinsons and they are usually triggered by stress, but with really chronic memory loss, who knows what stress triggers it. By that I mean, he can carry on a conversation about what's in front of him, but can't remember much beyond a half hour if that, and never remembers the day before. He has times when he is lucid and we have nice conversations, but in his environment, the staff care deeply for him, but don't have time to talk to him, and so when he is awake and lucid, not much to do but stare at a bunch of vets who are really gone mentally. He's the best of the lot, but now he wants to sleep almost all the time. I don't know if he would do that if he were at home, or if it is a way of dealing with his environment. We can't bring him home, he doesn't sleep at night when home, so requires 24/7 and can't be left alone for long because he gets anxious. Have realized they are giving him "palliative" care, because we have said that we don't want extreme measures if he needs, say, intubation or breathing apparatus. Yes, a partial DNR, if you want to call it that, and don't tell me it's not possible, I've dictated the specifics myself, it's a very standard form that the VA uses. Since he isn't predicted to die within six months, probly not eligible for Hospice (though some say just incurable dementia is enough to quality) but regardless of whether he can qualify, let's say he can. Is there any value to being in actual hospice, does it p rovide more than just palliative care? I have heard that there is some therapy offered for the family and besides that, is there a legal ramification to being in Hospice? It sounds like a silly question, but I'm just wondering what the difference is. Thinking he might be happier in a nursing home, he might get more one on one time, and would hospice help with the funding of that do you think? He has several thousand in the bank, and the family home is in his name. Might need to go to spend down too..... just thinking out loud here, all comments welcome!