My mother is 100 years old and sometimes gets anxious and agitated, packing her things, trying to get a ride home, etc. I am told this is "sundowning". She is currently on Xyprexa which was recently increased to 2.5 mg in the AM. I signed a 14 day order for Ativan as needed to help with the "sundowning" symptoms, supposedly until the increased Xyprexa kicks in. Yesterday I received a call from the NH at 3:30 in the afternoon asking if I would speak to my mother on the phone (I was actually on my way to visit). She asked if I would come and pick her up and I told her I was on my way to visit. When I arrived, 10 minutes later, she was sitting in her wheelchair basically unable to pick up her head and could barely keep her eyes open. The nun (RN in charge) told me she was just given Ativan as she was packing to leave, trying to transfer herself, etc. By the time I left at 4:35, she was zonked out. I told the nun she was now going to have to have help for supper and she'd now probably be awake by 11:00 PM.
I am not pleased with how this is being managed. If the nun gave her the meds at 3:30, that means she was on duty for 30 minutes. I don't think she could have even tried to manage her in other ways in this amount of time. Also, why so early??? My opinion is that it should be delayed as long as possible so she can sleep at night.
Anyone else have any experience with this? Thanks for the help!