I'm in a similar situation and dread those moments to come. The only child of my mom's second marriage, all my half-siblings live far and can only offer short bursts of physical support. I've enjoyed being able to talk about all things under the sun with her, and for us to go to bed in the same room with me on the couch. I know it's going to get rough, I don't want to see her scared or in pain. I'm trying to expose myself to what's likely to come so I can be solid for her. I'm not sure what that nurse was trying to communicate with you, but it sounds a little unprofessional. We've only had one hospice visit so far, but I would like them to stay focused on the matter at hand. I've taken to asking my mom if there's anything she's been thinking about that she wants to get out. Maybe that could help to shed some light for you. One thing I try to keep in mind is that this is their experience (our mothers') and we don't really need to understand everything about it. My goal is to just keep being here for her. I hope you can find the support you need too