An older client with metastatic breast cancer is experiencing shortness of breath as the result of bilateral pneumonia. The client has a living will, and the family is requesting hospice care. Which information should the practical nurse (PN) reinforce with the client and family regarding hospice care? (Select all that apply.)

A. Instructions for care should be included in the client's living will: Reinforcing that the client’s wishes for end-of-life care can be documented in a living will ensures that care aligns with personal values and legal directives, which is a key component of hospice planning. B. The family should plan to make all decisions about care: While family input is important, hospice care prioritizes the client’s wishes. Decisions are guided by the client’s preferences as documented in advance directives rather than solely by the family. C. Medications are only used to manage pain and symptoms: Hospice care primarily focuses on symptom management, but medications may also be used to relieve anxiety, shortness of breath, or other distressing symptoms, not exclusively pain. D. Care can be provided in the home where the client resides: Hospice services are designed to support clients in their preferred setting, often at home, providing comfort, medical management, and support to both the client and family. E. Care focuses on comfort, dignity, and emotional support: Hospice emphasizes quality of life by managing symptoms, maintaining dignity, and providing emotional and spiritual support to clients and their families during end-of-life care.