I have a newly admitted patient in the rehab I work at who refuses to bathe. He is exceedingly malodorous. You can smell him from up hall, with his door closed. He is also very unpleasant to all the aides and nurses. When I go into his room to give him meds or change his dressing (rectal abscess s/p surgical intervention) I feel like I'm going to pass out from the intense smell coming off of him. He wears his shoes in bed and refuses to takes them off and he has a bka and his prosthesis is filthy. He has only been at the facility for 2 days and other patients are going to start complaining soon. I know it. I think he is mentally ill but it is not noted in his chart so may be undiagnosed. He is able to get around fine and is not very old. He doesn't have Alzheimer's. What can I do? Help!!!