I am a private care-giver who has a clt w/RA very painful elbow & knee. she also has 30% kidney function. only give her 325tyle for severe pain 'otherwise ace wrap/ice for mild/mod pain. she does have a mild/mod dementia which has ben worsening since the Pred use. she gets in ''loops'', more difficult to distract, & increasingly more unsafe behavior. she is also on Thyriod replacement. those levels will be checked in two days. I also asked the family member to a BMP. the Pred is 5 ms. what are your thuoghts