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As far as hospice care, I haven't gotten to the point - but my husbands mother is having hospice as a matter of fact -starting today. His brother and sister have been taking care of his mother (they live with her)....but now she is at the very end.. They had hospice come towards the end when their father died and hospice was wonderful. These people have a special calling on their life that work for Hospice - as far as I am concerned. You feel a burden lift or sense of relief as soon as they enter the room. They just know the right thing to say to calm people down.
I would definitely look into that for your mom. I think its best for her to live with you since that's where she is the happiest.
Hang in there, I know its hard. There are days I want to curl up into a ball and not wake up again. It just gets to be too much sometimes, but I have to try to hang in there too.
Take care,
MO