Ascites (a big swollen abdomen) is common in someone with end stage liver disease or cirrhosis. It can also happen in other diseases such as cancer, pancreatic disease, heart failure, and others. If someone is on hospice typically the goal is how can we best manage and keep the person comfortable. Sometimes a tube is placed in the abdomen to drain some of that fluid. Other times it may be trying things like decreasing fluid and sodium in the diet. Saying that, the person on hospice may not want