Please attach his previous prescription as it would be helpful to make a diagnosis (it’s not available). He should be treated cautiously. These symptoms can sometimes be due to something relatively minor such as anxiety, dehydration, poor sleep, loneliness/sundowning, or musculoskeletal pain — but in this age group they can also be an atypical presentation of a serious medical problem, especially: * Heart problem / atypical cardiac ischemia * Delirium from infection, dehydration, electrolyte imbalance, urinary infection, low oxygen, etc. * Early neurological event (TIA/stroke) * Medication side effect * Hypoglycemia The arm pain being previously labeled “bone pain” does not completely rule out a cardiac cause, especially if the symptoms are new or worsening.