First off I am not a caregiver of an elderly person. My parents are taking care of a 98 year old Family member, Hazel. She is 5'1" and about 60 lbs. They recently took over this job as her brother died. In the past four months she has gone from eating 500 calories or a bit more in a day to eating about 150 and sleeping 20 hours a day. They called her doctor who said let's evaluate her for hospice. A hospice person came out and started the evaluation. Hazel doesn't believe she is dying and gets agitated when it is mentioned. She is otherwise in her right mind. So the hospice people said they wouldn't mention it to her. They had my parents sign the papers as Hazel is now blind. The other night Hazel had constipation so my parents called the Hospice number and an RN came out. She looked through the medications and found they had not given her any medications for constipation. So she took her blood pressure which was 137/97 (the nurse said this was fine but this seems high to me) and then said she would come back tomorrow. My mother while she was there told her that she hadn't pooped in 6 days. My mom told them previously she was constipated. My mom went and bought her some over the counter medication to help with the constipation but Hazel ended up in soo much pain she pulled her own poop out (Yikes and Yuck). My mom complained about the case manager (RN) in the morning and now the hospice is saying that my Mom wasn't allowed to sign the papers that they told her to sign and that Hazel has to be told she is in hospice. Which really is fine except Hazel might get angry that she is. Is the hospice trying to cover their behinds or fix mistakes? My parents have requested a new case manager and asked that they show up on a schedule as they often just call then show up a few minutes later to give baths, take blood pressure, etc. They also asked them to sit down and explain the medications that they sent over as they are all just sitting in the fridge and my parents have no idea what to do with them. What else should my parents be doing?