What is the initial intervention for a patient with dementia who exhibits confusion and attempts to get out of bed?

The choice of initiating a toileting schedule as the initial intervention for a patient with dementia exhibiting confusion and attempts to get out of bed is based on the need to address the underlying causes of the patient's behavior. Confusion and restlessness can often be linked to discomfort or the need to use the restroom, particularly in patients with dementia who may have difficulty communicating their needs. By implementing a regular toileting schedule, caregivers can reduce anxiety and agitation associated with potential incontinence or the need to toilet, thereby promoting comfort and safety for the patient.

In addition, establishing a toileting routine can help reinforce normal patterns and reduce the likelihood of incidents such as falls that could occur if the patient attempts to get out of bed in confusion. This proactive approach respects the dignity and needs of the patient while aiming to keep them safe, avoiding the negative consequences that could stem from other interventions such as physical restraint or unnecessary confinement.