I find myself seconding what each of the previous posters have said. One must go into Hospice with eyes and ears open. I have been fortunate to have been a part of 3 good (patient focused) hospice agencies in two states. I know of others not so. I have seen some change, IMO, for the worse.
An agency must do business well in order to stay in business - so that patients may die free of anxiety, pain and fear, and their families find coping, support, healing and Peace.
As a former Pastor who had parishioners on hospice and Army Reserve Hospital Chaplain who served in Desert Storm before becoming an RN, I found it helpful to realize that the patient's family was in a curiously similar position to a pre-surgical patient anticipating an amputation. The Family unit was going to lose an integral member. Realizing too, that the terminal patient and each person directly involved in the care and caring, was at a different place in the anticipatory grief process - and the more they were able to talk about how it was being for them, the better they were able to cope.
It was my experience that the patients' physicians depended upon us Nurses to communicate the needs of the patients.
Two books I found helpful in my processes along the way were: Final Gifts: Maggie Callanan and Patricia Kelly, and Feel The Fear ... and Do It Anyway: Susan Jeffers, Ph.D.
Hospice Nursing is, IMO, a high calling, a significant responsibility and a remarkable experience not many are given. An important discovery for me was that, with the teams of which I was a part, was that the borders between disciplines would "become blurry" PRN. The commonality was what we liked to call, "The Hospice Heart".
To my mind, one of the most precious things a Hospice worker can hear are the words, "I don't think I could have made it without you."
I wish you well in your journey.