I have a private home care patient that I take to lunch every Friday.  I first cared for his wife and after 1 year she passed away.  I said I would stay with him for the week his wife died then move on.  However, his sons asked me to stay on and so he became my patient.  He is now my patient for 5 years.  Every Friday without failure I take him grocery shopping with me, to the Bank and then out to lunch.  He now has Dementia.  On Friday at the resturant we went to (the same one for 2 years) at the table across from us their were three young ladies having lunch.  The ladies were being very very loud, they were not laughing but crackling, pounding on their tables when making their point to each other and just down right out of order.  I saw my patient getting upset and looking in their direction.  I never saw him eat so fast and wanted to leave.  I think it was my duty to take him out of that environment and helped him to maintain his calm.

I wonder if it would have been in my place to ask them to quiet it down or tell management.  They are paying customers as well and have the right to enjoy their time at lunch but it was a bit to much.