Antipsychotics For Dementia

Our uncle has Alzheimer’s Dementia and is on quetiapine [Seroquel] to control his agitation. The nursing home wants to stop that drug.  If it keeps his behavior controlled, why do we have to stop?

This drug is one of several anti-psychotics [such as risperidone [Risperdal], olanzapine [Zyprexa], haloperidol [Haldol] that are NOT approved by the FDA for use in dementia; rather, they were intended for disorders like schizophrenia.  Most dementia patients will have times of agitation; staff have difficulty managing these behaviors and naturally turn to a ‘quick fix’– everyone wants “a pill for every ill”!

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What’s The Difference Between Palliative Care (PC) And Hospice?

To palliate means to make the effects less painful, harmful, or harsh [M.Webster – from the Latin palliatus].  Both Palliative Care and hospice are comfort-focused, helping people to live comfortably rather than just be kept alive!  PC can be provided simultaneously with other medical treatments – sometimes for years – improving the quality of life for those with any serious or life-limiting illness (which refers to incurable diseases usually leading to death, such as Alzheimer’s Dementia, cancers, end-stage heart disease), by:

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Hospices “Trolling” For Patients In Hospital Is Unethical.

My uncle was told in hospital he had “end-stage heart failure” and to go home with hospice.  That day, someone from a hospice came and left their business card, saying they were available when the family was ready to go home.  Then, the hospital’s case manager came and gave the family a list of hospices to choose from. They are confused as to how this hospice person got their name, because they actually wanted a different hospice.  Doesn’t the family have the right to choose a hospice?

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