If the MD suggested Hospice it may be the best in the sense that they monitor the medications and when they need to be given. That way she can not "fool around" with them. But more important, she needs to go. You pay her paycheck, and it sounds like she "Makes" your MIL that way to be dependent in some aspects it sounds like a kind of Munchausem by Proxy for your MIL. She will give a bad name and no matter what even if the are Med. cert, or nurse del. you can report her to the state and her super. Good Luck