As part of Mr Thomas’ medical care, his wife was encouraged to stay with him, especially in the evening or overnight when he was most agitated. Environmental stimulation was minimised and a comforting environment was established by eliminating unexpected and irritating noises where possible. The environment was also modified to minimise risk of injury.
All care staff, as well as Mrs Thomas, provided meaningful orienting stimuli.
A range of observation/surveillance measures including more frequent nursing observation and prevention strategies were undertaken.
Restraints should be minimised or avoided as highly agitated patients often fight against them, resulting in injury and sometimes death