Care Plan for Behavior Problems

Category / Primary Body System

• Psychological / Behavioral Health

Problem

• Patient exhibits behavior problems as evidenced by (AEB) [specific behaviors, e.g., aggression, agitation, non-compliance].

Goal

• Patient will not exhibit behavioral problems for 90 days.

Plan/Approach

1. Behavioral Interventions

   • Redirect the patient calmly when exhibiting behavior problems
   • Do not argue with the patient when exhibiting behavior

2. Medication Management

   • Administer medications as ordered

3. Consultations

   • Psychiatric consult as ordered

4. Monitoring and Assessment

   • Monitor lab levels as ordered
   • Monitor the patient for increased behavioral problems that are not altered by interventions and notify MD/RNP as needed

5. Engagement and Activities

   • Encourage the patient to participate in diversional activities

6. Safety and Environment

   • Provide a safe environment for the patient

Rationale

1. Behavioral Interventions

   • Calming redirection helps de-escalate situations without confrontation, reducing stress for the patient and staff.
   • Avoiding arguments prevents escalation and maintains a therapeutic environment.

2. Medication Management

   • Administering medications as prescribed helps manage underlying conditions contributing to behavioral issues.

3. Consultations

   • Psychiatric consultations provide specialized assessment and treatment recommendations for managing behavioral problems.

4. Monitoring and Assessment

   • Regular lab monitoring can identify any physiological contributors to behavioral issues, allowing for timely intervention.
   • Monitoring behavior and notifying healthcare providers of persistent issues ensures that the care plan is adjusted as needed.

5. Engagement and Activities

   • Diversional activities help occupy the patient's time and reduce the occurrence of problematic behaviors by providing positive outlets.

6. Safety and Environment

   • Ensuring a safe environment protects the patient from harm and reduces triggers for behavioral issues.

Actions

1. Behavioral Interventions

   • Calmly redirect the patient during episodes of behavioral problems, using a soothing and non-confrontational approach.
   • Avoid arguing with the patient, using techniques such as active listening and empathy to address concerns.

2. Medication Management

   • Administer prescribed medications on schedule, monitoring for effectiveness and any side effects.
   • Document medication administration and patient response in the medical record.

3. Consultations

   • Arrange for psychiatric consultations as ordered, ensuring follow-up on recommendations and treatments provided by the psychiatrist.

4. Monitoring and Assessment

   • Perform lab tests as ordered, reviewing results and reporting any abnormalities to the healthcare provider.
   • Monitor and document behavioral changes, noting any patterns or triggers and reporting significant changes to the MD/RNP.

5. Engagement and Activities

   • Encourage participation in diversional activities, such as arts and crafts, music therapy, or recreational therapy, tailored to the patient's interests.
   • Document participation and patient response to activities.

6. Safety and Environment

   • Maintain a safe environment, removing potential hazards and ensuring the patient has access to calming spaces.
   • Implement safety protocols as needed to protect the patient and others.