My 80-year-old mother was diagnosed with incurable Stage 4 kidney cancer three years ago. She has never accepted the diagnosis and has tried all of the chemotherapy and radiation treatments available. She is no longer taking any cancer treatments and is on pain medication because the cancer has spread to her bones. Even though the doctors have tried to explain to her that there is nothing else they can do, she continues to believe that she is "going to get better." Both my father and my brother are encouraging her belief because they do not want her to give up hope. I think that it is time for hospice to be called to assist with end-of-life planning and to help my 81-year-old father who is her caregiver. I live out-of-state and will be visiting next week. I don't know whether I should "play along" and pretend that everything's going to be fine, or ask everyone to sit down and have an honest family discussion about what needs to be done. Any advice would be greatly appreciated.