How do I tell my mother who is fearful of death that it is time for hospice care?

If she goes on hospice that will pretty much mean that there is no hope for recovery. In fact, from the sounds of it, if she doesn't go on hospice there is no hope for recovery.

From the sounds of it, she is dying. If you don't think she would want to have to acknowledge this, I'm not sure it is necessary/helpful to insist that she face it. Instead of saying "there is no use in continuing PT; it is hopeless" I think that I might say, "We need to give your bones a rest to heal before we work on the walker any more." Is there any other treatment your mother would have to give up to receive Hospice Care?

She has a living will and wants no extraordinary measures to keep her alive. She is doing poorly in therapy as it has been painful due to her numerous fractures and broken wrist. When asked , she wants to continue therapy inorder to walk with a walker although her chances of accomplishing that are very poor as she eats very little and is continally losing weight. She has gone from 105lbs. to 80 lbs, in the last 6 months as she has no appetite. She is also extremely weak , unable to stand by herself and in pain. She is on tramadol every six hours and refuses anything stronger. She sleeps much of the day and has very poor circulation. However, she is very stubborn and is not about to admit that she is dying. Again, I'm afraid that if she goes on hospice she will give up as she will think there is no hope for recovery. PLEASE HELP ME UNDERSTAND HOW TO TALK TO HER ABOUT GOING ON HOSPICE WIHOUT UPSETTING HER.
Thank you!!!!

In the legal sense, is your mother able to act in her own behalf and make decisions? Does she have a healthcare directive?