. . . . . "Doll therapy can be soothing to some dementia clients (Bailey, 1992; Paulanka, Griffin, 1993). ?? If client becomes increasingly confused and agitated, perform the following steps: Monitor client for physiological causes, including acute hypoxia, pain, medication effects, malnutrition, infections such as urinary tract infection, fatigue, electrolyte disturbances, and constipation." .