"If a patient was becoming combative or abusive, my first concern would be the safety of my patient and everyone within range of him or her. Knowing that patients under anesthesia can often become confused and angered, I've developed ways of communicating with them. I use a reassuring and calming voice with them. In a situation like this, my next step after guaranteeing safety would be finding the cause of the problem. Nine times out of ten, the patient is simply confused as they awaken, so I have a simple conversation with them, letting them know where they are and what has just taken place. If the patient was in pain, uncomfortable, or fearful of something else, I would immediately take action to make that situation better."