We moved Dad who has COPD and related moderate cognitive impairment to a SNF in September on hospice. He is stable and declining sooooo slowly. His memory has lapses that are frustrating because we (the daughters) have been seeing them for years, but he performs for docs and nurses. We cannot get him diagnosed with dementia, so he is able to make his own decisions... but he doesn't make them in his own best interest... refuses treatments and medications that would help him breathe better. He also has said to us repeatedly that he is ready for "the good Lord to call me home." His quality of life is terrible. He cannot see well, cannot hear well, cannot breathe well, cannot walk unassisted, and is lonely, being isolated in a snf where covid restrictions won't allow visitors (not that he remembers having a visitor 10 minutes after they leave). Hospice won't allow his lasix for swelling in his legs because he has low BP already and they don't want him to "bottom out." But he is ready to die... and finds his swollen legs and feet uncomfortable... but won't take other meds like morphine ... or ativan for anxiety... he is his own worst enemy for refusing things that would give him more comfort... and all we can do is watch... as he almost imperceptibly declines... dying in slow motion. Suggestions?