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As for staying 24/7, my Mom is in a semi-private soon and I wouldn't think it would be fair to her room-mate if I was there all day and into the night. Plus I could become a liability to the facility if I was there 24 hours, they would need to be checking up on me, too.
My Dad wanted to stay overnight with my Mom at the hospital and he was given a recliner bed to use... middle of the night Mom wanted a nurse as she needed to use the bathroom and since Dad couldn't help her, being he was a fall-risk himself, instead of pushing the bed button to call the nurse, he went up to the Alert board behind Mom's bed and pushed Emergency which meant Code-Blue heart failure which sent an emergency team to Mom's room.... oops .... so the next day they ask me to please take Dad home and he couldn't return unless someone was watching him the whole time. I felt like I was dealing with an overactive 3 year old !!
Being with someone 24/7 is grueling especially if they're ill and on hospice. Maybe they're concerned that you'll wear yourself out.
As far as does he know you're there, without knowing a little more about your dad and what his ailments are, what his level of consciousness is, it's difficult to say. I believe that when an elderly person is in a coma-like state they can hear everything that's going on although they may not be able to respond. But that's just my opinion. I don't think anyone knows for sure if the person can hear things or not.