Lori Burkart Frank interviews Michelle Tagg, MSW and Community Liaison and Donna Brown, RN CHPN and Hospital Liaison with Hospice of the Foothills in a discussion about Signs of Decline. The transition from living with a chronic disease to the initial stages of dying from a chronic disease can be confusing. Seeing the big picture and understanding these signs of decline help to make care plans, reframe what hope looks like, and provide comfort.