I am no Doctor but have been with many people at the end stage of your life. If she is no longer speaking and no longer eating or taking in fluids I would bet anything it will be days...not weeks. She may be waiting for you all to go and if that's what's going to make her comfortable I am sure it's ok for you to go back and take care of her Grandbabies.
I would however be concerned about the CNA's /nurses not giving her pain medication or anything else from the comfort pack. This lady is transitioning out of this life and whatever makes her more comfortable and feels safest for her needs to be done. This is the entire and sole purpose of hospice. I urge you to call the hospice line right away..and by right away I mean now, don't wait. They are available 24 hours a day for questions and concerns. Let them know your mom's not being given the meds from the comfort pack when she seems in pain or disoriented. You are here to make her end of life the best it can be. She needs those meds unless she specifically has documentation specificying she doesn't want them.
First off let me say that my mother was a hospice patient and I work for a hospice company.
There is no way the CNAs could slow the process down. Also they should not be withholding pain medication. The point of hospice is to keep the patient comfortable -- thus pain free.
If I may be blunt -- the hospice is being cheap. They simply do not want to pay for the meds.
Your mom should not be in any pain at all. Even if she is not able to drink or swallow there are pain meds that come in a patch.
I am very sorry that you are going through this - and that your mom is going through this.. However, not giving her pain medications is totally inappropriate and quite frankly, cruel.. (I went through these battles with my late DH in a VA hospital..)
I don't mean to be harsh, but I don't care how "attached" these CNA's are to your mom.. It's cruel and unnecessary for them to put her through this because of THEIR wants and desires..

I really hope that you will make some calls immediately.. Yes - the pain medication will hasten her death - but she will go peacefully and I'm sure that's what you want..

As for the dilemna of not being there - you were there when she was still able to talk - you were able to say your goodbyes - and she wanted you to be home with your children.. She sounds like a wonderful mom and you have nothing to feel guilty about..
