Thanks, Pat! Hospice has come out to talk to my sister and her husband, but I don't think they have actually begun to receive services (I think my brother-in-law wants to wait a while). My sister's ALS clinic has sent out a physical therapist who seems to be coordinating services, though, and she has arranged for them to have a caregiver for two days a week, and I think that will be a big help. I feel enormous sympathy for her husband and family, because she can't be left alone for a minute, and that is a huge burden, but I think it is inevitable that she is going to require more supervision, because it seems that a minute's inattention can lead her to get up and walk and then fall (as she did two weeks ago when she fracture her skull). Her husband is determined to redouble his attempts to be with her all the time, which is admirable, but it doesn't seem to be practical, because there will inevitably be times when he has to leave the room. Having cared for my mother, who had Alzheimer's, I know what a quandary this poses, because Hospice can't provide full-time care. I at least had a home healthcare aide with her during the day x7, so I could do errands and have some time to myself during the daytime, and eventually we had round-the-clock care to make sure she was never unattended. I wish they could have this level of care, too, but it doesn't seem possible at the moment.