I have had a resident admitted to my unit that is causing anger and anxiety for my other residents. Many will not come to our dining room because of her behavior. This resident has the DX of Organic Brain Syndrome and Chronic Schizophrenia. She yells constantly with a voice comparable to a Drill Sarg. She is very loud, day and night, causing my other residents not to be able to sleep and they are staying in their rooms, rather than gathering to socialize with each other, because she is so noisy they cannot talk to each other. Many have made threats to hit her and of course, we take her from the area to protect her. We cannot take her to her room, because if this was done every time the behavior was displayed, she would never leave her room. Also, we cannot leave her alone for long because she ties to walk alone and has fallen 3 times in less than a week, in spite of the Nurse Alert alarm and the chair alarm. We have tried various tactics to distract her, such as TV, headphones with a varity of music selections, magazines, stuffed animals to hold, even put her with another resident who has similar behavior and they actually talked for a long while but then she started yelling once she became bored with the conversation and scared the other resident so we will not attempt that again. The other residents will not have anything to do with her because of her constant disruptions to their routine. The MD's are trying different meds but so far no results, we also have a Pysch. consult scheduled next week. The part that really puzzles me is that if you are with her, one on one, she is completely able to converse appropriately, and all of her details are correct. She seems to be totally oriented during one on one converstaions and can go into great detail about her life, both past and present. Nothing we have tried has held her attention for more than a few minutes. I think she will eventually be moved to our Alzheimer's Unit, simply because of her constant disruptive outbursts. I fully admit I am not a Pysch. Nurse, so I am calling upon any of you that can give me some insight and ideas to try as diversions or medications that you have seen used in the past to assist in contolling such behavior. I have never had a resident that I couldn't at least help a little bit and it makes me feel like I am missing something and that I am letting her down. Your input would be greatly appreciated.