I have been a caretaker for a dear friend of mine for the last 5 years. He is at End Stage COPD. He is currently in the hospital. They just removed him from the non invasive vapotherm ventilator . He is using wall oxygen at 3 liter per min. He has declined rapidly in the past two weeks. The doctors have told me he can't go home. He now needs 24 hour care and they are suggesting a Nursing Home. I don't know how to break this to him. It will break his heart.