For those of you who are familiar with working with hospice patients and their families, have any of you experienced difficulties or challenges with them accepting hospice cares?
There is one example that I can think of is a lady who has been a Hoyer lift for months and who has been unable to speak for awhile. Daughter keeps requesting speech therapy to work with her mom to improve communication even though it has been explained multiple times her mom probably won't speak again. The patient has a variety of pain medications available but the daughter refuses to allow staff to administer without contacting her first and sometimes she is not available when pain medication is needed. Daughter also insists that resident stay on Coumadin even though it is no longer medically necessary which means more INR checks for us and more finger pokes for the resident. Most of the time, Coumadin is discontinued when someone enrolls on hospice, but daughter won't listen to reason.
To me, it seems like the daughter doesn't really understand what hospice care does and doesn't involve. Any other similar experiences? Any tips to convince the daughter to let us treat pain, discontinue INR checks, etc?