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The person is end stage. I say go with whatever works, and Haldol works.
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Onlywhenlucid Dec 2019
Wise!! My mother was discharged from hospital and went home in hospice. That gave her the one shot extended release Haldol. While at home she was agitated and restless. Could not even stand her nightgown on her. Bedridden. Completely incontinent. Hospice told us to use more Haldol as needed every 4 hrs. We gave her only where agitation was exhausting every one. She passed away few days ago. Only lasted 1 month at home.
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I am not certain what you mean. There are any number of drugs and drug cocktails that may help in the last stages. As with many things medical, we want answers, but often it is a matter of experimenting to see what works. As my oncologist was so honest as to say to this RN, "it's anything but an exact science". So my advice, not being certain I understand the question, is that whatever works is a godsend.
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cwillie Dec 2019
Haldol is contraindicated with Lewy body dementia due to the possibility of severe adverse side effects.
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Haldol is part of the Hospice toolkit and is meant to relieve terminal agitation. If there is no agitation I don't suppose it is necessary, but if the person is restless and distressed then I don't think I would hesitate. When my mom was actively dying I was relieved that they were able to keep her doped out of her mind for her final 3 days, at that point any nudge to her final resting place would have been a blessing.
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Onlywhenlucid Dec 2019
Cwillie,

Thank you for responding.
I guess my question is broad as I knew Haldol was not recommended for LBD or elderly patients. However, that is what Hospice give them.
I feel guilty about letting them use Haldol. Can not believe how fast she went!!! She had been with LBD since 2011 and most important to point out, without any major medicine until 2 months ago where they were trying some cocktails. She went in with behavioural problems (paranoia, dellusions and hallusinations plus severe cognitive declline.) She was able to walk with axial-gait before she went in for neutralization treatement after an episodic month of September. She came out of there not walking. Immediately went back to Hospital for extended stay, came out completely bedridden.
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