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Symptoms
Anxiety/Restlessness
ANXIETY / RESTLESSNESS
This is a very common symptom and should be expected to occur at some point, especially in the last
weeks/days of life
Possible Causes
Dehydration
Shortness of breath
Side effects from medications
Pain
Constipation, Urinary retention. Especially in patients with Dementia
Infections: agitation likely, especially if fever is present. Urinary tract infections are very
common
Lack of sleep
Psychological issues: increasing fear of death, unresolved conflicts, and depression can
also present as anxiety
What to do first
Ask about pain
Check if seems more short of breath
Ask about any new physical symptoms
Take their temperature
Ask about the last bowel movement, check for decreased urination
Review medications with the Hospice team
If you are comfortable asking – “Is there something bothering you that you want to talk about”
Medications/Strategies
A
Lorazepam is one of the core ‘comfort pack’ medications you received on day of admission to
hospice. Its purpose is to relieve anxiety and should be used as directed
Other medications that may be prescribed: Haldol, Seroquel (Quetiapine)
( Click here to link for more information about Psychotropic medications )
B
Pain is a very common cause. Morphine (Opioid) medications are part of the core ‘comfort pack’
medications and should be used as directed if pain is present
Morphine (Opioids) can also given for increased shortness of breath
( Click here to link for more information about Opioid medications )
C
If you think there are issues that need to be discussed and are uncomfortable, the Hospice Team has
professionals who are trained to discuss emotionally difficult topics
When to Call the Hospice
A
Anxiety is increasing, not relieved with the lorazepam or pain medications
B
You think that one of the problems listed above is causing the problem and need help treating
C
Elevated temperature, concern for infection
