Hello. I m sorry your friend is ill. Her situation represents one of those difficult decision-making processes that occasionally face physicians and patients (and their friends and families). Her fever is probably a sign of a secondary infection -- a decubitus ulcer (bedsore), a urinary tract infection, pneumonia, etc. -- that could be fatal if left untreated. In some cases, when patients are terminal and they ve reached a decision about the types of care they wish to receive, they request that antibiotics be withheld in these situations and they simply be made as comfortable as possible. In other cases, patients request that all possible measures be taken to deal with infections, nutritional issues, and any other problems that crop up along the way. Your friend s physician should be apprised of her fever, and its source should be identified, if at all possible. This may be a straightforward problem that is easily treatable. However, if her fever is a sign of a serious infection that will require aggressive therapy and hospitalization, your friend should be asked about her desire for such treatment. If she opts to forgo treatment, every effort should be made to keep her comfortable. I hope that helps. My best to you and your friend.