Anyone deal with a family member with COPD who refuses the bipap mask?

If she does not want to use the CPAP, I'd honor her wishes. I do use CPA, because I have a mild case of Hypopnia (shallow breathing during sleep), but, if I were over 80 years old, I don't think I would continue the therapy. At her age, I'd discuss it with her doctor if you think that she doesn't appreciate the treatment. I'm a big supporter of seniors making their own decisions, if they are competent.

Basket hill,
If there's one thing I've learned from being a hospice nurse, it's that you can never tell WHEN someone is going to pass away.

Sometimes a patient may "rally" (be more alert, have a better appetite or even walk when they haven't) but then they will pass a day or two after that. It's impossible to second guess the time. Only God knows.

Since your mom is very old and has a terminal diagnosis, I would say to enjoy whatever time you have left with her.

It might be a good idea now to think about arrangements for when she passes (which funeral home, burial or cremation, a service (where and who would be invited, etc.). That stuff is so hard to get together in your grief.

Im sorry you and mom have to go through this. May the Lord give her a peaceful passing.

My father doesn’t have COPD but does have sleep apnea, apparently quite badly from what the docs say. He hated every form of mask and mouthpiece for the CPAP machine and after trying every conceivable way to use it, boxed it up and sent it back. Told the docs he couldn’t stand it and it was ruining his plans to die in his sleep anyway. For some people they simply can’t tolerate the device, no matter how much it may be needed. I say let them live in peace