I always thought hospice was for terminally ill people, especially those with cancer. My ninety year old mother seems to be entering a new level of medical frailty. Although she has had mild to moderate dementia, macular degeneration, limited mobility, high blood pressure and high cholesterol for several years, she has been fairly strong and not acutely ill in any way. However, in recent months, she has had a TIA, dehydration, UTIs, low heart rate more frequently. Moreover, she wants to sleep almost all the time. She has been sent to the ER and admitted to the hospital three times in the past two months. We have wonderful home health services, and I would like her to be able to remain at home. However, I am getting concerned about her need for more skilled nursing care, and regular lab work to avoid regular trips to the ER.