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McGrath said on Sunday that Bush, who is 92, has chose to seek "comfort care" rather than further medical treatment.

The younger Bush twin said she had "put on a show" during a family tennis tournament she had recently organized at her grandparents' summer home in Maine.

Jenna Hager Bush, a granddaughter of former first lady Barbara Bush, told NBC's "Today" on Monday that her grandmother is in "great spirits" after declining future medical treatment and moving on to comfort care. She was an unvarnished purveyor of the truth and motivated us all to be better people.

Husband George H.W. Bush is at her bedside and holding her hand, spokesman Jim McGrath said over the weekend. Her condition has worsened over the past year, leading to a recent series of hospitalizations.

Mills has never bumped into the former First Lady at Walmart but says Mrs. Bush wrote to her in the fall of 2016 after her husband passed away from cancer.

Both Barbara Bush and husband George H.W. Bush, who is 93, have dealt with health problems in recent years.

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Over the years many who have seen Barbara around southern ME in the summers might have noticed that she was wearing different colored Keds shoes. Bush's honor in the port, Mills wore two different colored Keds shoes just for the former First Lady. She had heart surgery in 2009, and was operated on for an ulcer the year before.

Since the announcement, the Barbara Bush Foundation for Family Literacy has created a page where people can leave their well wishes for the former first lady. Abigail Adams, wife of John Adams, the nation's second president, was also a mother of the sixth president, John Quincy Adams.

"I had the good fortune to have a quiet dinner with her and the president a couple of weeks ago and she was very, very frail then, and so I'm not surprised that she's taken a turn for the worse".

Barbara Pierce Bush was born June 8, 1925, in Rye, New York.

Her pearls sparked a national fashion trend when she wore them to her husband's inauguration in 1989. They got engaged right before he left to fight in World War II as a Navy pilot. The candid admission only bolstered her commonsense and down-to-earth public image. Proceeds from the books benefited adult and family literacy programs.