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Great points. Here are a few points to consider when a person is combative:
I would not touch anyone without permission especially when they are upset- it is actually better NOT to touch them if they are combative and I would keep 6 feet away until I believe it is safe to come near them- The old adage that if an older person struck you it is the well person’s fault (unless you have to change their diaper or giving them a bath but even then you need to back off)I think it is better to inquiry rather than talk and when it is time to talk, sincerity is the most important component- genuine concern for their plight