Hey all! I am looking for some treatment ideas for a Ranchos Level 4 pt. Someone who is very confused and agitated and has a difficult time receiving much therapy.

Thanks for the help:)

Hi grande8,

Sorry I don't have much experience with the Ranchos Levels. I found the information below on the Rancho website, but imagine you've seen that. You really need some professional help and a friend or relative to help you set-up some strategies. Off the top of my head I would say draw-up a daily routine/timetable which includes breaks/sleeps. Put some things in place to help your remember appointments and chores. Talk to a friend and list the things that cause agitation and look at ways of avoiding them.

From www.rancho.org/patient_education/bi_cognition.pdf

• Tell the person where he is and reassure him that
he is safe.
• Bring in family pictures and personal items from
home, to make him feel more comfortable.
• Allow him as much movement as is safe.
• Take him for rides in his wheelchair, with
permission from nursing.
• Experiment to find familiar activities that are
calming to him such as listening to music, eating,
etc.
• Do not force him to do things. Instead, listen to
what he wants to do and follow his lead, within
safety limits.
• Since he often becomes distracted, restless, or
agitated, you may need to give him breaks and
change activities frequently.
• Keep the room quiet and calm. For example,
turn off the TV and radio, don't talk too much
and use a calm voice.
• Limit the number of visitors to 2-3 people at a
time.

Hope you can find the right help.

Johan - icommunicate