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Unfortunately this disease does not improve.
Is dad on a sedative regularly, for instance Ativan or Xanax? If not please talk to his doctor about prescribing one.
To me, nothing is more frightening than not being able to breath. Your father can be struggling from this which is why he is anxious.
It’s a fine line providing care to PF patients. In my opinion keeping him sedated has 2 purposes - alleviating fear from not getting enough air and achieving a level of sedation where the person is not overly sleepy which decreases the urge to breathe.
I know you said you don’t feel your father is ready for hospice but you may want to reconsider. He isn’t going to improve, unfortunately. His outbursts no doubt take all of his energy and he loses air quickly this way.
Good luck to you!
Best wishes to you.