You are currently assigned to care for Mr Dole a 89yrs old , Mr Dole currently is at the early stages of Alzheimer's disease. Mr Dole is refusing to shower, eat and engage in unit activities. He states he will only complete his ADL if you alow him to sing in the dinning room. In addition , he gets very agitated during the night and more calm during the day.

1) How will you engage him to complete his ADL ?

2) Why is Mr Dole agitated during the night time and calm during the day? What is this symptom called?

3) What can you do to help minimize Mr Doles Agitation ?