You are caring for a 66-year-old patient and you notice he is not wearing his glasses, his pants are so loose they are barely staying on, and his socks are at least two sizes too big, which he is wearing without shoes. Additionally, the family has brought him a new gift of a multicolor throw rug for his room. His room is cluttered with so much piled around the floor there is barely a visible path to walk. What needs to be addressed?