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What effect can benzodiazepines have on a patient who is restless as death approaches?
Relieve anxiety effectively
Have a paradoxical effect, worsening restlessness
Ensure peaceful passing
Stabilize emotional responses
The correct answer is: Have a paradoxical effect, worsening restlessness
Benzodiazepines are often utilized in end-of-life care primarily for their anxiolytic properties, which means they can help relieve anxiety and promote relaxation. However, in some patients—particularly those who may be elderly or have a certain neurochemical profile—benzodiazepines can have a paradoxical effect, leading to heightened restlessness or agitation rather than a calming effect. This paradoxical reaction occurs because the medication may trigger an overactive response in the central nervous system of some individuals, resulting in increased agitation rather than alleviating it. In these situations, despite the intention of the medication, it can inadvertently worsen the restlessness, which is particularly concerning when addressing the comfort needs of patients in a hospice setting. Recognizing this potential effect is crucial for clinicians as they assess and tailor interventions for individuals nearing the end of life. It underscores the importance of closely monitoring medication effects and being prepared to adjust treatment plans according to the patient's response. This understanding helps to ensure that care is patient-centered and as effective as possible during a vulnerable time.