I have to say, I Love LTC! I know that some of the confused patients can be, tiring. It can be frustrating because there isn't anything you can do for them but be there. The others have said, try re-directing them if they yell out, re-orienting a dementia or alzheimer pt isnt really going to work, so going along with it is best. Reassure them, and also learn from them. Their delusions can tell you alot about their past, what they were like before, ask them questions about what they are talking about, its pretty interesting a lot of times.
You will meet all kinds of characters in LTC. When you go to work, just remember you are there helping this mom, dad, grandpa/grandma deal with losing their independence, can you imagine what that must be like? That should get you through the shift. Just keep reminding yourself, "how would I react if I was slowly, progressively losing all my 'faculties' ".
As for the other people who just walk by the room of the yeller, its because they know this person and that he/she yells all the time. You peak in the room and see if they are in any immediate danger, then go on about what you are doing. Its just knowing your patients. I would personally go into the pts room, ask them what was wrong, talk to them about it and if there was nothing I could do I would document it and go on. There should be a behavior book/chart at your facility for the yellers (hitters, kickers, biters, wanderers, midnight shoppers
). Its sad to just "let them yell" but honestly most of the time whatever you do is going to either just irritate them more or lead them into another delusion/episode?. You will get used to your pts and their behaviors, it won't take as long you might think either. Good Luck and enjoy your residents, they were once you!