How are medications adjusted on Hospice?

I know each person's situation and medical needs are different but I would be curious to know if you have or had a LO on hospice if and how their meds were adjusted. I know that hospice often stops non essential meds or makes changes. Did they make changes once or were things stopped or reduced over time? Was there a specific incident or change that they decided to reduce or stop them again? How were psychiatric meds handled too? Were they stopped or reduced? If they suspected someone was overly sedated because of meds would they try to address it? I understand that sleeping more is part of this process too so how does that square w meds?

Mom's vitamins were stopped and her zyprexa was cut in half but then increased by 25percent when her behaviors returned and that helped. Her blood pressure meds were stopped a few weeks earlier as she did t need them anymore but I don't think anything else was changed. She has morphine available as a prn and drops to help w secretions as a prn. She hasn't needed the morphine so far and the drops just once I think. She's still eating and taking most meds but has been sleepier since an aspiration incident last week but does seem to be eating better the last few days then earlier in week. She was more awake today tho she was too tired last night to wake for meds.

I've talked to her hospice nurse about some of this and I know we will talk again but in the meantime I'm curious about others' experiences and understanding what this process looks like. We do have a psych nurse from hospice coming in to review the timing of zyprexa and which she gets morning and at dinner. There may be other things to talk about. Mom's psychiatrist no longer practices at the facility and they haven't replaced them yet.