I went to visit my Mom with my kids and she was once again out of it and pretty incoherent and falling asleep.  On her birthday she was alert but today again she was not.  I brought her ice cream, she did not eat and asked to go back upstairs.  I asked the nurse, who said she is tired because she wakes up early.  This was 2:30 pm.  I called later and talked to the nurse and said I need to determine if this is a downgrade in her condition or if she has too much medication in her system as I am still concerned about the Seroquel I signed a consent for 2 months ago.  The nurse said she did not think the meds were doing this and she has noticed a downgrade, but she was going to put an order in to halve the dosage of Seroquel to rule out that playing a part in this.