Often I have found people are reluctant to accept anything that might be considered a tranqualizer. Is your patient taking any dexamethasone?? It might be introduced as an appetite stimulant, if that is a problem for him. And he might feel a lot better with some dex and then you might approach him about having something in the house like lorazipam drops to use for restless nights when he can't sleep. After he agrees to let you order them for him and maybe even uses them once or twice you can add that they also can be used for anxiety if needed in smaller doses than for a sleep aid. You might also just want to pass that along to his wife initially. Well hope it helps, hospice is a very special kind of nursing. I don't think most nurses realize what an honor it is for people to let us into their homes at this time in their lives. Well that's my . Mary