My 95 year old grandmother who is on Social Security receiving Medicare has recently been evaluated by what appears to be a Hospice nurse. She is being offered "palliative care" through Hospice and is seriously considering signing onto the service to allow her to stay in her home. She is a CHF patient with atrial fibrillation and had a recent hospitalization. They claim she had pneumonia in the ER but released her in 3 days after admission without any heart tests or other tests, no recommendations to follow-up with her cardiologist. I was not with her during her hospitalization or during the evaluation, and I'm trying to learn more about the "palliative care" services as it pertains to her CHF medication management and her future hospitalizations. I have been unable to find specific data. I want her to fully understand as much as possible her treatment if she chooses to sign onto palliative care. Her independence is so important to her, yet she wants to remain in her home as long as possible. She currently lives alone and has been managing on her own. Can you give me your thoughts going forward with a CHF patient as to medications, 911 calls, hospitalizations, assorted doctor visits (regular doctor, podiatry, dentist, X-rays, hearing, eye exams) under the "palliative care" program of Hospice in the State of California? Many thanks for all your input -- it is well-received and I am grateful for all the comments here.