Management of Behavioral Symptoms

yelling and screaming-Developing a care plan: Management of Behavioral Symptoms

  1. Assess for triggers: Determine if the yelling and screaming is a result of over-stimulation, boredom, or too little stimulation. Try to eliminate or lessen the cause as much as possible.

  2. Give the resident something to eat or drink, such as hard candy (if not contraindicated by dietary/dysphagia concerns). This can help to redirect the resident's attention and provide sensory stimulation.

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Developing a care plan: Management of Behavioral Symptoms

Developing a care plan is an essential part of managing challenging behaviors in residents. The following points explain the process of developing a care plan:

  1. Decide which behavior changes are realistic to expect the resident to make: The first step in developing a care plan is to determine which behaviors the resident is capable of changing. Instead, setting goals for reducing the frequency or intensity of the behavior may be more achievable.

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Evaluating Behavior Symptoms: Management of Behavioral Symptoms

These points are part of the process of evaluating behavior symptoms in residents and identifying any medical or environmental causes that may require treatment. Here is some further expansion on these points:

  1. Evaluate behavior symptom looking for medical or other causes that require treatment: This involves observing and documenting the resident's behavior, as well as any triggers or factors that may be contributing to the behavior. It is important to rule out any underlying medical conditions or other causes that may require treatment.

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Interactions with families: Management of Behavioral Symptoms

Interactions with families (significant others) are crucial in managing the behaviors of residents in care facilities. Here are some explanations for each point:

  1. Keeping family current regarding condition and needs: This involves maintaining open and regular communication with families to keep them informed about their loved one's condition, treatment, and any changes in behavior. This helps family members to be aware of any concerns or challenges, and also helps them to feel involved and supported.

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Personalizing living areas: Management of Behavioral Symptoms

Personalizing living areas is an important aspect of managing behaviors in individuals with dementia. It involves creating a living space that is familiar, comfortable, and safe for the resident. This can be achieved in several ways, including:

a) Requesting that family send personal items and remembrances from resident's past: Personal items such as family photos, favorite blankets, or memorabilia from the resident's past can provide a sense of familiarity and comfort. These items can be displayed in the resident's room or common areas.

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Ensuring safety: Management of Behavioral Symptoms

  1. Remove furniture and objects with sharp edges or parts that could be dangerous - keep all furniture and equipment stable and in good working order: This means that anything that could potentially harm a resident should be removed or replaced with something safer. Furniture and equipment should be in good condition and checked regularly to ensure they are stable and not at risk of breaking.

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Calm and Organized Environment: Management of Behavioral Symptoms

  1. Labeling: Use signs, pictures, or other objects that remind residents of where they are or what they need to do. This can help residents navigate their surroundings and reduce confusion. It is important to use high contrast black and white pictures instead of words and place all labels at handicap height for easy visibility.

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Signs of increasing anxiety & strategies for managing increasing anxiety

 

  1. Head: Loss of eye contact: Avoiding eye contact or looking away may indicate that the resident is feeling anxious or uncomfortable.

  2. Arms and hands: Repetitive movements, wringing hands, clenched fists: These physical behaviors may indicate that the resident is feeling anxious or agitated.

  3. Legs and body: Repetitive movements, increase in motor activity, such as frequent changes in position or pacing: The resident may feel restless or anxious if they are pacing or frequently changing positions.

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Direct Caregiving: Management of Behavioral Symptoms

  1. Match the demands that staff and others place on the resident to that person's ability to respond: It's important to tailor care and activities to the resident's individual abilities and needs, in order to avoid overwhelming or frustrating them.

  2. Schedule a predictable routine: Establishing a regular routine can help the resident feel more secure and in control, and can reduce the risk of behavioral symptoms.

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Non-verbal message (Body Language): Management of Behavioral Symptoms

  1. Place your body in the resident's line of vision at an equal or lower position and make eye contact: This can help establish a connection with the resident and show that you are engaged and interested in what they are communicating.

  2. Move slowly: Moving slowly and deliberately can help create a calm and reassuring environment, and reduce the risk of agitating the resident.

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