80 year old dad been in the hospital for about 4 weeks with a number of issues including pneumonia, severe malnutrition, now with feeding tube. He was ambulatory prior to admission and now dependent on others for all his needs including bathing/bathroom/bedridden, basically very deconditioned. He’s having anxiety esp at night where it’s not allowing him to sleep and sleeps all day affecting participation with things like PT. I’m suspecting he is very frustrated in his inability to do much and feels some shame in what’s going on, esp the bathing and soiling himself. He was already on a SSRI (sertraline) with no improvement. I’m concerned once he’s home (discharge planning next couple of days) that his anxiety will continue and my mother who is the primary caregiver will be wiped out.