My 92-year-old father-in-law has dementia. He has lost 30 pounds in the last year, has a Foley due to an enlarged prostate and is very weak. With the catheter we see blood every day, sometimes so much it looks like someone poured a cup of strong coffee in the bag. The home health nurse said it appears the cancer has spread to his bladder and we assume it's in the spine too, based on his pain in the area. About 18 years ago he had a PSA test and it was 44. He never went back to the doctor or decided to pursue another appointment, treatment or biopsy. Today the home health nurse is saying he cannot be on Hospice without a definitive diagnosis. And the only way to do that is for him to have a biopsy or CT scan. It's virtually impossible to get him out of the house-he uses a walker but can barely walk with it. He's confused the vast majority of the time. Failure to thrive or dementia can no longer be used to admit a patient to Hospice. The nurse is checking with her office to see what our options are and I was just wondering if anyone else has dealt with this. Thank you.