The older adult long-term care resident with dementia becomes agitated each evening after supper because he "hasn't walked his dog
" The nurse plans to intervene by doing the fol-lowing (prioritize these options from the most simple to the most complex): 1. Remind him that his dog is not in the facility.
2. Help him draw a dog on paper and carry it with him.
3. Give him a small stuffed dog.
4. Reorient resident to time and place.
5. Ask his daughter to bring the dog to the facility.
4, 1, 3, 2, 5
Reorienting the resident is the most simple and possibly most helpful; reminding him that there is no dog in the facility reorients him to place; giving him a small dog may distract him and satisfy the need for a dog, and is simpler than attempting to get him to concentrate on drawing while he is agitated; involving a family member is good but family cannot always arrange to be on hand on a daily basis at a specific time.
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