So sorry to hear that your dad is doing poorly, Jillby. My prayers are with you and your brother as you face the road ahead. I've posted before about my mother's "long term" relationship with Hospice. She ended trearment in June '07, but still going strong. My mother lives in my home and my brother works second shift so he can be here when I am at work. Hospice has been an incredible support to us. Medical equipment (walker, wheelchair, shower chair), medication, weekly visit from "our angel" of a nurse, social work and clergy support and more recently, respite one day a week so that my brother can have a day off. All is covered by Medicare. I am not sure what level of support they are able to offer to clients still living in their own homes, but with the change in prognosis that you all have had since beginning this thread, maybe he is ready to accept that he needs more help?