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My husband has had quite an experience with Parkinson’s for the last four years or so. He was put on hospice nearly a year ago. On the last nurse’s visit she said they may take him off hospice because he can walk now, although very shakily; his tremors have practically stopped; he gained four pounds - up to 105 - in two months; he hasn’t fallen in several weeks. He is confused over what this means for his care. He thinks it means they are giving up and will not provide any services. I’ve tried explaining it’s really kind of the opposite, more like he requires less care because he is better now, not on the verge of passing. Even though he is improved physically, his mental condition is worse. He is depressed and anxious. He takes 100mg Sertraline once a day and 1mg Alprazolam 3Xday. But he says he feels like he is just hanging on by his fingernails. Has anyone had better luck with another med to relieve anxiety?

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Just tell him that Hospice is end of life care.
Tell him that they thought he was dying, but INSTEAD he is getting better.
Tell him he deserves a graduation cap, gown and scroll for doing so well.

Graduating from Hospice! Throw him a party, I say.
I know, if there is some loss of mental acquity your hubby may never understand that he just became to well for end of life care. But that's the fact of the matter.

I wish you both well. I hope you aren't going to miss the extra care too much?
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Reply to AlvaDeer
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Hi penguina, Im not very knowledgeable about meds, really but I'm thinking one in the benzo family.

Klonopin or Xanax. They are addictive, and are being less used now, but I know you understand that the most important thing is getting your husband to want to live, specially if his health is doing fairly well.

Best of luck, hopefully others will have ideas too.
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Reply to Anxietynacy
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Penquina, I would personally give my husband a magnesium supplement. Far to many people are deficient, upwards of 80%, and it is a vital nutrient for our nerves, along with 600 other functions, meaning other supplements and drugs can not do their intended job if we have a deficiency.

Is it possible for your husband to continue with palliative care? That would give you added help and might give him the reassurance he is seeking.

Best of luck.
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Reply to Isthisrealyreal
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You can ask his primary care physician to test him for an actual magnesium deficiency before giving him a supplement. You should always inform his doctors that you are adding a supplement if he is taking other meds, as there may be interaction.
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Reply to Geaton777
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My husband‘s neurologist prescribed Lexapro for anxiety and depression, and he saw relief very quickly, which continued until he died. Just through conversations I’ve had with people, it seems to work wonderfully or not at all, but you could ask about it. Be aware that any equipment being provided by hospice will be removed when they discharge. I would definitely recommend palliative care and if appropriate, he would be eligible for home health therapy services again.
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Reply to MidwestOT
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I will add to what a former poster the REalReal said about magnesium.

Magnesium glycinate supplementation definitely helped reduce Mom's anxiety and she was on it for years but she was not on a lot of prescription meds.

Since your husband is on a lot of prescription meds I'd ask his PCP or pharmacist about efficacy of adding magnesium glycinate to your husband's care plan and effect on his current meds.

If you decide to try it make sure to get the glycinate version to prevent loose stool. We were giving Mom 400 mg per day and she is a small woman. Usually it comes as 200 mg. You can also stagger dosage.
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Reply to brandee
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