home
about
contact
Print Friendly VersionDifficult Behaviour Care Plan 1
Case Study |
|
| Anna is a 79 year old lady suffering from the 2nd stage of dementia. She seems to understand what staff say but is very slow to respond. She is restless most of the day, sitting for only minutes at time. As she wanders, she enters other resident’s rooms and takes possession of whatever calls her attention. At meal times she will reach and take food from other people’s plates and offer it around. Anna walks with an unsteady gait and falls occasionally. She enjoys good rapport with staff but she can get very resistive to pleas and requests. Staff have to employ diversionary strategies to retrieve other people’s possessions from Anna and one strategy that works well is inviting Anna to ‘help out’ with something. Anna’s family is against giving her more medication as they claim that medication diminishes her quality of life. |
|
Social/Emotional Care Pan |
|
| PATIENT: | Anna May |
| DOB: | 02/07/1925 |
| Recorded by: | Solange Kindermann (DT) |
| Date of Record: | 23/05/2008 |
| Activities Support: | Require supervision at all times. |
Community Outings: |
|
| Anna requires one to one assistance. Staff will try to engage her family into accompanying Anna on bus trips or make sure there are enough volunteers. | |
Extra Support: |
|
| Anna will be escorted to hairdresser, podiatry and other medical appointments whenever necessary. | |
Issues/strengths: |
|
| Uncooperative behaviour, holding on to other people’s belongings. Tendency to antagonise her peers in dining table and recreation area. Slow to respond verbally, unsteady gait. Anna is alert most of the day. Good rapport with staff occasionally. | |
Goals: |
|
| Anna will have suitable distraction to absorb intrusive behaviour. Anna will feel safe and secure at all times. | |
Interventions: |
|
|
Staff will provide Anna with daily sensory stimulation and activities suitable to her capabilities such as garden watering, walks, magazines, puzzles and serviette folding.Staff will give Anna ample time to understand and answer questions. When Anna is restless and upsetting others staff will approach in a non directive and sensitive way offering Anna a choice e.g. Hand massage with essential oils mixture, hair grooming, manicure and/or make-up, a walk in the garden. She responds well to kindness which will be used to remove her from challenging situations. Anna will attend all cooking sessions and staff will assist her to participate actively e.g. stirring, sorting, top and tailing vegetables, measuring. Anna enjoys ball and balloon games, picture bingo and sing-along. Staff will orient and guide Anna several times a day making sure she is safe and secure when wandering around. She will attend Music therapy, concerts, children’s visit, pet therapy and special screenings of animal/nature movies. Anna belongs to the Catholic faith and will be escorted to monthly service in facility. Staff will liaise with Anna’s family regarding her wellbeing and offering support when needed. |
|
| Evaluation: | Quarterly |
12 months membership
$39.95
Posted by: Dawn Merante | 30th May 2010 View profile
very good.
Posted by: Susan | 3rd September 2010 View profile
I have found the golden carers web pages to be very informative and useful - full of great ideas - keep up the good work!
Posted by: Jackie | 16th December 2010 View profile
Yes, our Ann is very similar in behaviour, have also tried to engage her in helpful activities. Face washer & serviette folding, unwinding knitted garments, watering, washing up etc.... She looks and expresses anxiety often, walks to exhaustion, can't rest.
Posted by: Lorraine Lambert | 10th January 2011 View profile
Yes, I have found this most helpful. Thank you and look forward to more info regarding our challenging clients.
Posted by: clayton | 10th January 2011 View profile
i have a resident who is in the 2nd stage of demensia, he has worked hard all his life and gets confused when staff wont do as he says. He likes to work with his hands and we have tried all kinds of activities with him( building activities,puzzles,workshopping, ect but he soon losses interest, any help with new activities would be appreciated. ( Ideas ) Kind regards Kelly
Posted by: sally mcdonald | 24th October 2011 View profile
great read stragities are very help full, keep up the good work