24/7 care doesn't necessarily mean in a hospital or professional nursing unit but it does mean that caregivers must be there around the clock in case she needs to get up in the middle of the night, manage her meds and feeding schedules. She will be too weak and too heavily medicated to risk her getting out of bed unassisted. The hospice people will train care givers and provide some limited respite care, bathing, provide equipment; commodes, walkers, etc., nursing at home checkins, etc. I have walked this road with both my stepmother and father - even had the same hospice nurse both times. Both passed away in their own beds, at home. It was very difficult but being able to honor their wishes was a profoundly spiritual experience for me.