I agree. It sounds like the decision maker in this family is aggressively pushing what they believe to be right. It's hard for us to argue with that, and convince someone that doing something they believe to be helpful can do harm. In this patient's case, there is no tangible benefit from IVF, yet obvious harm to be done. Perhaps the doctor who ordered it is not experienced with end-of-life care? It's an age-old issue to hospice care that always feel different with every patient because the families are so insistent.