Reducin ing Staff Stre ress: Pers rson-Centere red Appro - - PDF document

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Reducin ing Staff Stre ress: Pers rson-Centere red Appro - - PDF document

Feb 17, 2024 287 likes •342 views

3/11/2016 Reducin ing Staff Stre ress: Pers rson-Centere red Appro roaches for r Handli ling Difficu icult lt Resid idents Nathalie de Fabrique, Psy.D. Licensed Clinical Psychologist Director of Clinical Services COTLER HEALTHCARE

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Reducin ing Staff Stre ress: Pers rson-Centere red Appro roaches for r Handli ling Difficu icult lt Resid idents

Nathalie de Fabrique, Psy.D. Licensed Clinical Psychologist Director of Clinical Services COTLER HEALTHCARE

MAIN OBJECTIVES:

  • Understanding Combative Behavior
  • Providing alternatives to psychotropic medication
  • Strategies to positively handle the combative resident
  • Learning when to use behavioral interventions and supportive

psychotherapy

DEFINITION

  • Combative Behavior- any physically aggressive act that causes or

intends to cause hurt or damage to a person or object

  • Most aggressive/combative behavior occur in:
  • Dining Room
  • Bath/Shower
  • Toileting
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CONTRIBUTING FACTORS TO AGGRESSIVE BEHAVIORS:

  • Organic brain disorders (vascular dementia, stroke)
  • Psychosocial causes
  • Environmental causes

3 Key Components to Managing Combative Behavior:

  • Assessment
  • Diffuse/Minimize Combative Behavior
  • Formulate a plan

WAYS TO PREVENT COMBATIVE BEHAVIOR

  • General prevention techniques
  • Strategies specifically geared toward dementia residents
  • Preventing burnout in facility staff
  • Offering counseling/therapy to residents who can benefit
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Positive Communication

  • State questions or ideas in positive terms
  • Avoid baby talk
  • Do not attempt to reason or apply logic

Behavioral Approaches

  • Identify the Problem Behavior
  • Identify the antecedants/trigger
  • Identify the reinforcer of the problematic behavior
  • Identify the desired behavior

Therapy for Dementia Residents

  • Validation Therapy
  • Reflection
  • Redirection
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Therapy for Dementia Residents, Cont’d

  • Person-Centered Therapy
  • Decision-making power is in the hands of the individual
  • Help maintain personhood
  • Support individual while maximizing independence

Alternatives to Psychotropic Medication

  • Ongoing supportive counseling
  • Behavioral treatment plan
  • Appropriate physical activity
  • Environmental accommodations

TH THE END

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