I think with some patients it's a measurable aspect of their decline and they are not ready to face it. Especially with hospice patients, this can be a big issue.
A more personalized approach with education works with some people, reproaching a subject with a different spin. Sometimes focusing on what they still can do, and how a fall could change this.
Hoyers can be scary to look at. I've actually let a patient hoyer me so they can see how it works. And show them the different safety features and considerations involved with a transfer.
Or involve the patient in this process, offering options and having them make suggestions/ input their care plan. Even if it's what you were planning to introduce all along. With hospice patients, many things are out of their control. Giving them a chance to make decisions is very helpful to them (and to the therapeutic relationship