Thanks for your response guys. I know when I deal with non responsive actively dying patients I would do the suppository as order and just continue with cooling measures. Like some of you said just doing something assures and comforts the family. From what I get from end to life hospice care is that you are still making sure that the patient is comfortable but also that the family is well taken care of and that they are also comfortable as much as they can. Just finding some time to sit down and speak with them about their love one and sharing memories that you had with their love one really makes a different instead of just going in and out of the room. For me as a new grad, I feel like it makes a big difference. Thanks guys!!