What to do? Think my mother is in pain when moved in any way.

So many aspects to my mom's story. Definite cognitive changes noticed followed by a fall and 3cm subdural hematoma; diagnosed with dementia, taken off blood thinner, subsequently stroked; then had series of UTIs when in rehab. I took her out and to my vacation (single level floor plan) home where she has been for the past 10 months. I was there for 5 months (my husband and kids were also there on and off) with the assistance of aides. Then I had to return to my primary residence as my kids were returning to school. I also work. I had been spending every weekend with her until the past month. Now I drive out 1-2 days/week. Otherwise, she has 2 aides there with her as toileting her with one person was too risky. She has continued to decline cognitively and physically. She would refuse PT at home and would not participate when we would try to do with her. Her ability to bear any weight is now gone pretty much completely and she wails when we try to lift her on commode, get her out of bed and even turn her to change her in her bed. I am moving her closer to me and have contacted hospice. What does one do if even moving patient in her bed causes her pain? My mom has aphasia so she can't communicate where her pain sits, how severe it is and if she is even in pain. I ask her if she wants to get out of bed and she says yes, but then wails. Also, if 2 aides are present, was thinking of a transfer board with gait belt to get her in her transport chair? I know that I am avoiding the inevitable, but I think once confined to her bed, she will just slip away completely. Looking for anyone with experience who can share their thoughts/guidance/experience. Thank you!