Grandpa (96) was admitted to the hospital for a fracture. He has moderate dementia (we think Lewy Body but has not had psych or neuro work-up) and generally gets very confused in the hospital. However this time he was very agitated and would not stay in bed despite not being able to bear weight on his leg. (We figured some of it was exhaustion and the pain, in combination with his dementia.) Last night after they got him settled and seemingly calmed down, my mom left. At some point they gave him Ativan. This morning when he woke up he was, according to hospital staff, very belligerent, including hitting, kicking, and swearing. When my mom arrived, they had restrained him and had given him Haldol.
While on the Haldol, he is sleepy and not moving. We are concerned about the possibility of clots, pneumonia, and bed sores. (They do have him on blood thinner now.) The belligerence this morning is something he has never exhibited before and we wondered if it could be a result of the Ativan, since agitation and aggression are possible side effects. We are concerned that the doctor might be treating a side effect of the Ativan, and is in turn putting him at risk for further complications.
Are we overreacting? Are either of those drugs ok for a dementia patient? If he does need sedatives, are there more mild drugs that might work? Thank you for any replies.