Mom is 93, in NH. Dementia, in wheelchair and blind. Luckily she tells me she’s very happy, loves to sing, still has a good sense of humor, eats & drinks pretty well. When she’s awake. They get her up for all meals, so she’s out of bed probably 9 hours a day, but naps in her wheelchair a lot. The issue is she’s always complaining of how tired she is. “Why am I so tired? I don’t want to be tired, what’s the matter with me?” She can just wake up from a nap, and immediately say she’s tired. It’s almost constant and it’s getting harder to keep her awake during meals, which is bad. I see other residents napping a lot, which I understand, but no one complains about it constantly like she does. She sleeps ok at night but does wake up sporadically.
My question is about her meds. She is on 200 mg gabapentin and 50 mg of tramadol at night, and 1000 mg Tylenol 3x a day for her arthritis. When I bring up her tiredness to her NP, she brushes it off that they are low doses and “she’s 93”. But I have a nagging feeling that her gabapentin and tramadol may be factors and I’d like her to reduce the dosages. Does anyone have experience with those meds? Should I insist on trying to reduce one or the other? Or is the NP right and this is just how it is?