My mother has been intubated for 24 days. Doctor is end care

My mother has been intubated for 24 days. Doctor is mentioning palliative care for a peaceful passin

51 years old, female, 240 labs, caucasian, USA.

Existing Medical Issues: Ards, Coronary artery disease. Drug Use: Meth

Long story short, she was in and out of one hospital for almost a month after contracting flu/pneumonia was on supplemental oxygen, told she had mild copd. Probably discharged too soon as she was discharged 3 times and would be back in a day or so. Well on April 9th, we took her to a different hospital.

She was fine for a week or so but quickly deteriorated, most likely getting pneumonia again (cultures showed MRSA) to the point she had to be put on a bypap in ICU before requiring intubation shich she has been on for 24 days now. Main diagnosis in ARDS I believe, with lung damage/scar tissue from bouts of infection and years of smoking etc and "patchy airspace opacities" showing up on scans. She's been sedated since being intubated as she breathed against the vent and has been on and off a paralytic.

She got as low as 55% FIo2 needs on the vent before worsening and being stuff at close to max settings (90% to 100%), so they weren't able to do tracheotomy at 14 days. DR (A pulmonologist) said at this point they would normally see improvement and that he isn't, and pallative care would be worth considering at this point to let her pass peacefully. Before I make that decision, should I explore any other options? According to the doc, her best case scenario would be a trach and peg at this point. He said she isn't a candidate for lung transplant or ecmo. I can provide more specifics on information if needed, like dates or medications etc If needed.