That's np. I can answer. My mom was under Hospice care for about 8 months. I lived with her at her house as caregiver. I guess you could say there was some suffering involved. It was her heart, mostly. She had severe blockages in both her legs, which resulted in sores that would not heal. hospice cared for the sores to keep them from getting worse. Some became infected because of the lack of blood flow. I think the pain gradually got worse over time. My mom didn't like pain medicine, and unbeknownst to me, was hiding them on occasion. She took some. It was just the heart getting too weak. A weak heart causes a lot of other things to start happening, too.
Near the end she was getting more uncomfortable. It was easy to see that. She stopped eating. Then she stopped drinking. Hospice wanted me to give her something stronger for her pain that they had brought into the house for near end of life. It's called a "stat pack", and it has several very powerful pain killers in the kit, along with some anti-psychotic medication. I didn't want to do it. I had to crush up the pain killer and mix it with a little water in order to put it into a syringe and administer it that way. That pain medication retards the breathing, and along with a very weak heart, well, you can see where it would go. She had a heart attack overnight in her sleep, and I somehow must have heard something. So, I got up to check on her and it was evident that she was near death. Her breathing wash shallow and her heart was beating at about 170 beats per minute, but it wasn't a good beating. Obviously, she was unconscious. All I could do was hold her hand and tell her how much I loved her. I gott a stop now,