I think that we've gotten to the point where mom needs Hospice Care, maybe palliative as a first step. she's currently in the hospital and I asked for the Palliative Care team to evaluate her, because I want their opinion. My brother has POA, all three siblings are health care proxies, but I do the case management. POA brother is unsure that we/he is entitled to say "yes, it's time for Hospice". Mom has a DNI and DNR and wants no extraordinary measures. In June, when her heart rate dropped and drs told us that she would die without a pacemaker, we pitched the decision into her court, because frankly I thought it was a bad idea, but my brother and SIL weren't sure. (Mom has vascular dementia, i.e., sharp as a tack except can't reason anymore and occasionally the govt is coming to take her away because she didn't' pay her income taxes in 1937; also, the volunteers who wheel the clients to Mass on Sunday mornings are all Jehovah's Witnesses and will possibly take her to another service). My brother is afraid that if she's on Hospice, we won't be able to get her repeated pleural effusions drained, that they'll take all her bp meds away, etc etc. Where is there good, factual information that I can sent him?