thanks so much for responding. You are right. The hardest part is the emotional part and the saying goodbye.
Morning, my Dad was in the same position. Back in Nov. 2006 he was told he was in end stage heart failure ( no surprise after 4 heart attacks ). The docs couldn't seem to get his meds balanced and his ICD kept firing off. They even started him on hospice care, that's how bad it was for him. They still kept adjusting his meds but that was all. Somehow things changed and he stabilized enough to be bumped off hospice care and lived till Aug. of this year. He finally died from cancer.
With his bad heart he just got weaker and more tired. Seemed all he had energy for was watching TV. His appetite went down to nothing. My Mom kept asking him what he wanted to eat and nothing sounded good to him. He was cold all the time (thus began the thermostat wars). He had oxygen at the house to help with his breathing. His ability to understand things and follow conversations went downhill. That was all part of the heart failure.
The thing to understand is those symptoms are beyond their control. They don't mean to be so dull and lethargic. They don't mean to get confused. It's hard to see the changes from the active person that took care of so much around the house to someone that can barely stay awake long enough to watch the news. The physical problems can be handled (especially if they get hospice nurses to come by the home like my Dad did). The hard part is the emotional side of things. It just isn't easy to say goodbye.