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She wouldn't want to live like this. She is in ALF for over a year. She hates it there, tells us that often. She has dementia and does not remember our visits, even a few hours later. When should we stop the BP meds, cholesterol meds, Namenda, etc to let nature take its course. Having these dementia problems was my mother's worse nightmare. I have medical power of attorney and am thinking of just continuing with pain meds as needed, and anxiety meds prn.

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This is definitely one to talk to her doctor about. There is a form, around here it's called a POLST that should have been filled out at the time of admission to the ALF that specifies her wishes. But doctors are oftentimes real good in helping you with these type of issues. Also, a hospice nurse or social worker. Sorry your elder is so unhappy. There's meds for that, too. :-)
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If she is still in AL and not a NH, no I would not stop all her medications. If she has hypertension, you don't want the bp to go too high. You wouldn't want to potentially add a stroke to her other problems. You, she, and her doctor can make decisions on her other medications one by one. Like personally I would no longer be worried about cholesterol or osteoporosis. And I doubt that Aricept or Namenda would be useful. But these things are just my opinion. Talk to your doctor about what is best for your mother.
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Ask for a Hospice evaluation. If her MD has test results that show she is terminal and will die within six months, let Hospice step in. Fill out the MOLST or POLST form which also needs her MD signature. Although you are POA, you still need the MD to sign the MOLST and refer her to Hospice.
If you just decide on your own to stop meds, APS will all over you.
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My Mom was recently in the hospital and has dementia, she was sent home with a whole mess of new meds that she said made her feel awful so she refused to take them except the BP meds which she was originally on. Her heart doctor agreed that if they weren't helping she didn't have to take them. She went from about 20 pills down to 3 and she feel amazingly better but is weak and has lost a lot of weight part of being on so many meds and being 90 yrs old. I for one feel the meds made her sicker and her comfort is better now. Call your Moms doctor or make an appt. to go with her to evaluate. Hope it helps ease your mind and makes her more comfortable.
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What pamstegma said.....
Be careful.
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