The purpose of hospice care is to make the patient as comfortable as possible, period. They do nothing to treat disease or prolong life; their only mission is to make death as painless as possible. Addiction is obviously not a concern, and neither is overdose; If the dose of morphine or other drugs required to reduce pain is also a fatal dose, so be it.
There are a lot of different hospice providers, and their policies vary. Physicians usually do turn over the primary responsibility to the hospice, because they have a different set of priorities; the mandate to “first, do no harm” makes some uncomfortable with palliative care that may hasten death.
My 92 year old mother has breast cancer and congestive heart failure. She has been under Hospice care for several months. Her nurse has saved her life at least twice. Her nurse came as soon as I called. I thank God for that woman. I guess the nurse isn’t doing the job she was hired to perform.