Hello, I hope I am not to late to help but I was in that position 3 times. Each time I was told it was the end however that was always by a doctor in hospital. It was only ever the people in the hospice that knew, because unfortunatley for them they do it day in day out. I would speak to the main doctor there as sometimes the nurses can scare you because they are so afraid of saying things are going to be fine just in case they aren't. The truth it nobody knows when someones time is up and it can be unfair to put that weight on the nurses shoulders. Personally my mum had good and bad days, it is only now where she is nearing her end that I can truly see a permanent change. Sadly she doesn't have good days now, she just lies there asleep barely waking. The doctor has told me that not eating, drinking and sleeping constantly is sadly one of the final stages. Please don't be afraid, medication is a nightmare and it can scare the life out of you when it takes over however you need to look at her properly and see if she is constantly in this state over a period of days or whether she has good days and bad days. If she does I would say it's not the end. Lots of Love. Grace x