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My 88yr, old Mom had a major exasperation (COPD decline), bedridden and refuses to take any of her perscribed medication since last Aug.,,eats hardly nothing, has been on hospice since Nov. after a phycotic eposisode, in respite care for extreme terminal restlessness for a week. Has been home since Saturday and is just fine. I can't count how many times she had the family gather to say their last goodbyes.

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End of life is tough because there will be good days and bad days. I saw a similar pattern with my grandmother who would seem to be on an upward climb before taking a bad turn again. We are blessed to have more days with our family, but it can be emotionally draining to say your last goodbyes over and over. I have seen people come off hospice but given the scenario you are in I would not expect to see a recovery. I think that unfortunately you will continue to see good days and bad days but cherish these moments. Also, it is not uncommon for someone to go into a hospital or another care facility and act out of the ordinary- often referred to as sundowning they may get confused or restless because they are in the unfamiliar setting-
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when the restlessness turns to terminal agitation the jig is about up . after a few days of restlessness my mother asked me how she was going to get out of " this one " . somehow she knew things were shutting down. in her case her digestive system ground to a halt. she was gone in 48 hours. im thankful for the comfort meds as it would be pointless for her to experience death in increments.
i know that didnt answer your question. mom was on hospice for 12 months. heart disease / copd are particularily hard to put a timeline on .
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I have to add. she is off the morphine,atavan,and haldol and no longer has to be catherized.
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Your user name says it all! Life is a mystery. They tell me that's a good thing.
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I think sometimes there is a golden moment shortly before they die.
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