Thanks for your input Leslie,
Meds are few now.. IVI Phenergan and Ativan... Pain infusion...
I shall ask about getting the Ritalin for him as anything that can help with the lack of energy would benefit his goals at this stage.
I have talked about benefit versus burden in his care.
He will not take much in the way of oral meds due to severe fungal infection mouth, back of throat and no doubt down the esophagus. It really is so nasty and sore for him.
I had some good one on one with him today. I just asked the family to give me some private patient/ nurse time.
I think 'Jack' was very appreciative of this as well.
I have a gut feeling he is going to go down in health rather quickly. He looks worse each time I see him and the weight is just sliding off.
He is talking more openly about death with me now and that has been beneficial. He does not fear death just does not want death to cheat him out of his goals but I don't know.