Who decides if a person goes on hospice?

The option of hospice is generally discussed among the patient (if possible), the primary care physician, the family and, when relevant, the patient’s care facility. In cases where the patient is unable to make the decision for themselves, an Advance Healthcare Directive can provide invaluable guidance. In cases where there has been no advanced planning the decision to start hospice is often left to the individual with Power of Attorney for the patient.