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Flashcards in Mother fucking problem behaviours Deck (17):
1

Agitation – can be

verbal, vocal, or motor, either
aggressive or non-aggressive,

2

always

inappropriate or excessive, and negatively affect the person or others.

3

Agitated behaviours and limited communication skills may put the person with dementia at risk for

inadequate
assessment and treatment.

4

Agitated behaviours increase the probability of

caregiver burden

5

it s an indicator of

nursing home placement

6

Leads to (2)

falls and often restraint

7

agitation loop

Physical restraint
= more agitation 
= chemical restraint
= gait impairment, falls, anorexia, sedation, hypotension, diminished cognitive function,
= more agitation

8

Identification of antecedents to problem behaviours and prompt appropriate intervention can help the individual to continue to communicate and function effectively.
*
 Four types of antecedents –

– patient factors,
– environmental factors
– interpersonal relation factors,
– restraints or medication.

9

Authors listed….
Cognitive impairment,
Sensory impairment (bathing, feeding, touching agitations);
Physiological (pain, infection, dehydration, constipation);
Personality and psychiatric (depression, psychosis,
anxiety)
Drug effects (too much, too many, withdrawal

What about the environment….. Relationships with
staff and others…..

10

Three types of interventions:

– behavioural approaches
– environmental modifications
– pharmacologic solutions.

11

Behavioural 4

Determine type of agitation,
– frequency, duration, severity;
Identify antecedents & prevent
*
Consider basic needs
*
Address communication
*
Foster autonomy and sense of control

12

Environmental

Familiar, constant, predictable
*
Objects or labels to orientate
*
Photos from earlier years r/t LT memory
*
Simple familiar activities, keep it simple – fucking *
*
Diversion and a sense of belonging
*
Music to soothe, entertain, socialize, invite others in

13

Pain - what can be pivotal?

Proper use of analgesics can be pivotal

14

…. Often
agitation is due to

joint pain due to arthritis

15

Examples of analgesics

Entrophen 650, tylenol, NSAIDs work well, be
careful about protecting gastric systems;
*
Remember alternatives - warmth (sweater, cup of
tea, a throw, hot water bottle); distraction (a chat,
music, a picture book); relaxation …

16

4 other types of bhv

Wandering - diversion and stimulation, music therapy, social interaction, area for wandering
*
Sleep disturbances
*
Eating disorders – Need time, small meals often, finger foods, dishes that contrast the food
*
Sexual Disturbances – read the cues, investigate, divert.

17

Nancy Fucking Drew

Embrace the role of sleuth in identifying problems and creating effective solutions!