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We are beyond the point of treating thyroid, HPB, cholesterol. Behaviors. Depression.


Has anyone just discontinued all this stuff beyond hospice meds. We are going to.


This is not going to change her trajectory. But will be less work for liver and kidneys.

Joann not only that. Newer statins affect their leg muscles. My mom not going be Lazarus, but this is b.s.
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Reply to Segoline
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A 93 year old does not need cholesterol meds. It effects the liver and so does some Thyroid Meds.
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Reply to JoAnn29
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My mother in law was of sound mind and in last stages of death by colon cancer when she decided to cut out all meds except for the hospice pain regimen. She died a few months later.
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Reply to faeriefiles
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Thanks for your notes of encouragement. Because we learn from each other, under frequent difficult circumstances:
Hospice very onboard with this idea. Glad We suggested.

So what I learned. Usually ativan given in addition to other pain meds. Our mom on an opioid, but we are not yet to morphine. And it is given orally in a syringe, so easier to swallow.
In ALZ dementia patients ativan can actually increase anxiety, so valium onboarded instead of ativan. Tylenol onboarded too. Because, towards end, they can have a fever. Ugh.,I had to ask.

But that's the deal. A special mattress was brought in as she has the beginning of a bed sore. Nickle size. Sacral area. Special kind of bandage. Turned every two hours.

Eta, all of these meds can be delivered in liquid form via oral syringe.
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You have decided it's time for Hospice, chosen the hospice provider and situation so that you don't need to make these decisions anymore. If this is what they are suggesting and they feel they can keep her comfortable without these medications then I would go with that. You have done the heavy lifting of your job and turned it over to the experts, you can and should feel very good about that, at peace with your decision so that you can now focus on this time and being at peace with the way this plays out, trust them to make it the best it can be for your mom, you and the rest of your family because that's what they are there for. All my support and good thoughts for you at this important time.
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Reply to Lymie61
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If they are in pill form and she is declining, she will eventually have no ability to swallow towards the end. Either that or pill aspiration could be likely.
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I spent several years running to specialists when my mom began having noticeable TIAs (an MRI showed that she had many, many more through the years) and I was relieved when the treatment was proven to be working, so when mom's new doctor proposed dropping almost all those new medications after her health failed (without any diagnosed explanation, but that's another story) I was very resistant. I guess the doctor knew best, or maybe it was just fate, because mom lived many years beyond that point.
Palliative care is more of a philosophy of care in Canada than a program with protocols like it is in the USA, so we were able to keep meds the doc deemed useful for her QOL and to treat any acute conditions at our discretion.
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worriedinCali May 21, 2019
Palliative care is a philosophy in the US, not a program with protocols. It isn’t the same thing as hospice—hospice has protocols.
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I agree, it make sense to stop those meds in hospice if death is near. Why administer any medication that is no longer needed if one’s journey here on earth is coming to an end? You are assuring via hospice she will receive any medication she needs to stay comfortable and that is your main objective.
I am sorry Sego. It is a very,very difficult time for you. . Hang in there...
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Reply to Shane1124
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I think it makes a lot of sense
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Reply to againx100
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Thank you barb. This is pointless. It is less work on her liver and kidneys. Again, not going to change anything. But easier on body. Thank you again.
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Reply to Segoline
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((((Hugs))))
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Reply to BarbBrooklyn
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Sego, my mom was in the NH and fell. Taken to hospital, treated for broken wrist. Back to NH. Clearly had given up. Had been on antidepressants, antianxiety, hbp and pain meds.

Hospice came in. We discontinued everything. Hospice gave morphine. It was peaceful.
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