My mother is a 86 year old women with degenerative disc disease who has refused to get out of bed, go to the bathroom, has poor appetite. She was in a rehab facility, and abruptly refused to have physical thearapy. She complans of abdominal pain, which has been worked up resulting in a diagnosis of constipation. She is fully cognizant, alert, oriented. Interactive with computer devices, and TV. She participates in conversations about family, members, and people in the facility. She insists that she does not want hospice. Family very frustrated, about her decline. What to do. She lays flat in bed with head slightly elevated, 24 hours day.