Mr. Philips is an 86 year old man admitted psychiatric ward with multiple co-morbidities including significant dementia. He is combative and often kick or punches those who attempt to taking care for him. Moreover, he also tried to commit suicide by trying to eat pesticide. These occur due to his disease process. It may developed flat mood and personality changes if not manageable well.
In fact, one of the staff member in the ward have been treated at the emergency department for injuries that occurred during taking care for him. The man’s wife refuses any medication to sedate him. She concerned about the side effect of medication taken by her