My 88 year old mom, who had moderate vascular dementia before falling and breaking hip, now has advanced dementia. She still knows me,but is unable to feed herself and is not understanding or is unwilling to participate in rehab, to learn to stand and walk again. She also has congestive heart failure, AFIB, high blood pressure and carotid arteries are 70-90 percent blocked. She has a few happy days, but more and more sad days. Her facility is 1 1/2 hours away(they were only place to offer bed for rehab). She is agitated and refusing to take meds, eat or drink. She has a catheter, because bladder was not functioning due to anesthesia and pain killers. The facility is removing catheter on Monday, to do a void test and then she has an urologist appointment on Tuesday. Her urine output is not good and very dark, due to her refusing to drink. I do not know what to do. Is it time to call in hospice and who does that?