Mourning for Distant News When Not Wearing Shoes

A patient was unconscious, and when he awoke, he was informed that his brother had passed away two months ago, and when he was informed, he was not wearing shoes. How should he observe the laws of mourning?

Written in the Shulchan Aruch, Siman 402, Seif 2: "One who hears distant news does not need to observe all the laws of mourning, but it suffices to remove shoes, and there is no need for wrapping or overturning the bed, and it is permitted to work, bathe, use oils, have marital relations, and study Torah. If he has no shoes on his feet, he must overturn his bed or wrap his head, so it is evident that he is doing it for mourning; if he was engaged in Torah or work, or was bathing and using oils, and the news came, he must stop for an hour for mourning and then return to what he was doing, but if he was wearing tefillin, he does not need to remove them, and yet he does not fulfill the obligation of mourning with this pause, and must do something to show he is mourning, such as removing shoes or overturning the bed and wrapping; however, one of these suffices." And in our times, when there is no overturning of the bed and wrapping of the head, the Aruch HaShulchan, Yoreh Deah, Siman 402, Seif 5, writes: "It has already been explained that the need to observe mourning for an hour for distant news does not include all the laws of mourning, but only one of them, such as removing shoes, and there is no need for wrapping or overturning the bed, and it is permitted to work, bathe, use oils, have marital relations, and study Torah, and there is also no meal of consolation for distant news. If he has no shoes on his feet, he must make another sign of mourning, overturn the bed or wrap his head, and this is according to their custom, but with us, where there is no overturning of the bed and wrapping, it seems to me that he should sit on the ground for an hour, because with us the main mourning act is sitting on the ground, but if he removes his shoes, this is also not needed."