A hospice prognosis once meant that seniors who were living in care communities were required to leave that setting for a hospital or hospice facility. Such a mandate is no longer the case, as care communities, hospice workers, and the home caregiving industry are developing flexible ways to keep seniors in familiar surroundings to the very end. While hospice is taking care of end-of-life spiritual and medical needs, home caregiving companies are providing companionship, meal preparation, and light housekeeping. Such a relationship benefits seniors in several ways. Laurie Hamilton, a Harrisburg, PA Home Instead Senior Care franchise owner, says that her CAREGivers often become the people who seniors in an end-of-life situation rely on and trust completely. The relationship between the two industries works well, with hospice recommending that families call home care companies when more companionship is needed for their loved ones, and home care companies referring to hospice when they realize an end-of-life situation might be near.