Christine - It seems to me that rather than "not trusting you", it's more the idea of having to relinquish control to someone else. It can be very stressful to make changes and face something unknown. We all prefer making our own choices and it feels better if we can make those choices ourselves. Perhaps there is a way that Matt would be able to have a choice that would keep him comfortable. Since he does not want to consider hospice, what if he had a choice between hospice and going to a nursing home facility? - Perhaps as a trial to see how it works? Or maybe a third choice of a Professional Nurse that could come help with his care? (If it was one of those athletic looking no-nonsense-do-what-I say types, he might realize what a sweetie caregiver you are!)