I wanted to add this as I got distracted:
My MIL says that she is not talking anymore. She has been saying this for a few months. However, when my dh and I picked her up from her nursing home for Thanksgiving, her speech has not deteriorated at all in my opinion - since I have known her that is.
We walked in, told us who we were (she doesn't even recognize my husband anymore, and she wouldn't even know me as I said before). We told her where we were going, she seemed to be oriented to time and day (Thanksgiving, almost noon), and she said that she was happy to be going to Rosie's. She gave us a tour of the facility, showed us her room, hugged the aide goodbye, told her "Happy Thanksgiving" and she'd be back later. Once we got into the car, I was talking to her and she said something to the effect of, "I remember you. You are so pretty." Whether she really did remember me or she was just talking, I really don't know. My point is, there was no lack of speech.
My MIL claims that she has not eaten on her own in months. She was eating just fine during dinner, but not fast enough for my MIL so she was shoveling it in her.
Anyhow, when is hospice usually called in for something like this?