I disagree Mom was at home in hospice, I saw what she went thru in the dying process. Death certificate says Alzheimer's & Dementia, I say she died from congestive heart failure and stroke; hospice nurse practioneer told me, prior to my mom's death, mom would die of a massive stroke after she suffered a stroke initially in April/2016. Alzheimer's & Dementia is contradictory to what this nurse practioneer said. My mom ate and drank up 'til the day she died contrary to what hospice says about my Alzheimer's & Dementia patients. I don't see where Alzheimer's & Dementia had anything to do with the immediate cause of mom's death. Mom's death certificate read like mom's admission into this hospice while mom's condition at the end I don't think had anything to do with Alzheimer's & Dementia. Congestive heart failure and osteoporosis were listed way down at the bottom of the certificate. Does the immediate cause of death matter, if so what should I do? Thank you for your advice.