Background -- Mom has vascular dementia, was in the hospital in December with an infection. She also stopped eating at that time and has existed mostly on Ensure since then. I had her put on hospice care when she returned to her memory care facility, and she came down with Covid a couple of weeks later. Covid was a breeze, but now she has unexplained bruising breaking out all over her, including an enormous blood blister that came up overnight a few weeks ago. The hospice nurse has seen this in three post-Covid patients, so she thinks it's related. She's lost at least 40 pounds since December.
Mom's dementia took a pretty deep dive as a result of her hospital stay, and now she mostly talks in fragments of sentences kind of like when you talk in your sleep. She's not terribly awake most of the time either. I was able to visit her in person last Friday for the first time in a year, and she no longer knows me. :-(
Fast forward to yesterday -- The hospice nurse said that Mom is starting to get aggressive. She pulled the nurse's hair on Friday, and hit one of the caregivers in the stomach. She has also scratched herself and torn her paper-thin skin in two places. Mind you, my mother couldn't snap a twig if she wanted to -- she's that weak -- although she did hold my hand tight when I saw her. The doctor wants to put her on Seroquel because they're concerned she'll hurt herself swinging at others, not that she'll hurt anyone else. From what I've now read on this drug, it supposedly isn't terribly effective with dementia patients, and it can cause strokes. As my mother is already bleeding like a sieve, it seems like a poor choice of medication. She doesn't suffer from sundowning -- The nurse says she just wants people to stop poking and prodding her, which I completely understand.
Has anyone else had recent experience with this medication? What is your opinion of it? I'm concerned it's going to zonk her out to the extent that she'll consume even less nutrition than she already does. Normally I'm in full agreement with what the hospice nurse suggests, but this seems to be a bit of overkill for what actually ails her.