Regarding Hospice principles: I have Hospice for my 93 year old husband with either Alzheimer's or Vascular Dementia (not sure which it is). I'd say he is in late stage of either one. He is sleeping more than he was a few months ago (16-20 hours out of 24), and eating very little solids (and only when I spoon-feed him). Otherwise, he exists on about 600-700 calories from shakes, nutrition drinks, etc. Hospice tells me that when he refuses all food and drink do not coax him to take some because his body is telling him it's time to shut down, and that he will not feel hunger or thirst. But how do we really know this? To me, it seems that the natural human response is to do everything to sustain life, and that the Hospice approach seems to come down to simply watching my husband starve to death. I'm not sure I can do this. I don't think I would drop Hospice in order to allow a feeding tube, just for the sake of keeping him alive a few more weeks or months, but neither do I want to see him die slowly of lack of food and fluids. I'd so appreciate some input on this from anyone who has struggled to make peace with this difficult issue.