So hospice has changed dad's meds. He is getting Seraquel at night to help him sleep but they also have put him on Ativan PRN for agitation. Last night they gave him both at the same time. Doesn't that seem like an awful lot?
I hate to tie the hands of the med tech's if he needs more to calm him down but I also don't want him over medicated.
Yesterday afternoon I saw him and they had given him Ativan and it seemed (to me) like he was really not needing it and then got very out of it from being drugged. I feel like allowing them to PRN during the day is just wrong. It's one thing if he is trying to sleep, but otherwise it seems like they might be doing it to make their care easier. I can't be there all the time to know if he really is anxious or agitated. My dad can get like that but usually it's at night.
Trust the hospice team and realize that end of life care means the goal is to have dad NOT suffering in any way, shape or form.
Try not to micromanage things and believe that your dad is in good hands. You are not with him 24/7 so you don't know exactly when he needs medication. It could be that he needs meds in the evenings some days, and in the afternoons on other days. That's how my mother is with her dementia; everything changes constantly. Good days and bad days and everything-in-between days. Some days she can fool everyone into thinking she's 100% fine, while other days she's riding the bus to NYC to see her dead papa. I only WISH the doctor would write her a PRN prescription for anti anxiety meds, I really do. She would do SO much better as a result.
Good luck.